Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

WASHINGTON, April 7, 2026 /PRNewswire/ -- Health plans today announced an update on commitments to streamline, simplify and reduce prior authorization, a critical safeguard that helps ensure their ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

Some physician practices are charging patients for prior authorization requests or requiring annual administrative fees for such requests and letters of medical necessity, among other services. In ...

Blaming prior authorization for “eroding trust between payers and providers,” federal officials said Monday they are evaluating how prior approvals might be better targeted to improve healthcare ...

The first specialty medications added, Vivitrol and Epidiolex, are used to treat substance use disorder and epilepsy. “CVS Caremark and Surescripts share a commitment to transform the prior ...

Prior authorization is the top challenge that Americans have when navigating the healthcare system, according to a new KFF poll. About 32% of those polled said prior authorization requirements are a ...

CLEVELAND, Ohio — Prior authorization is the top challenge that Americans have when navigating the health care system, according to a new KFF poll. About 32% of those polled said prior authorization ...

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

R1 RCM has launched a new tool designed to automate and streamline the prior authorization process at scale. The tool, called R1 Prior Authorization, manages the full authorization lifecycle through a ...

Health insurance companies increasingly require medical providers to obtain approval before delivering the costliest forms of treatment to patients. This has helped curb wasteful expenditure but also ...

State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura Healey announced ...