States must begin verifying millions of Medicaid enrollees’ monthly work status by the end of next year — a task some critics ...

Physician burnout figures have dipped, but much work remains. The AMA offers a wealth of resources supporting professional satisfaction.

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

In an about-face, the administration is cracking down on so-called skin substitutes, overused treatments that cost Medicare ...

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...

For Assm. Heidi Kasama (R-Las Vegas), delayed insurance approvals for health care treatment aren’t just something she hears ...

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

Nearly 50 health insurers, representing commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans, recently committed to simplifying and standardizing the prior ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma, ...

Several of the nation’s largest health insurance companies have agreed to ease restrictions around prior authorizations, a ...