New effort will expedite approvals, promote access to care, reduce administrative burdens, and enhance the patient experience LOUISVILLE, Ky.--(BUSINESS WIRE)-- Humana Inc. (HUM), a leading health and ...

A screen displays the logo and trading information for Humana on the floor of the NYSE in New York (Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for ...

(Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the latest insurer to address the tedious paperwork process that has ...

Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Prior authorization — in which a patient needs approval from the health plan before proceeding with a medical service — has long created a rift between payers and providers. It has gotten such a bad ...

"Medically necessary" is often a four-letter word for patients.

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and ...

CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior ...

Health plan members of AHIP and the Blue Cross and Blue Shield Association made news earlier this week when they announced a series of steps that a broad swath of health insurers will take to improve ...

(CNN) — On the day when UnitedHealthcare requirement was set to start a new requirement for endoscopy services, including colonoscopies, the insurance company shifted to a different approach.