The move has raised eyebrows among politicians and policy experts. Traditional Medicare has mostly eschewed prior ...
A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by ...
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to increase transparency and hold participants accountable.
Sarah Bajorek, PharmD, BCACP, assistant chief pharmacy officer for ambulatory care at UC Davis Health, discussed how the ...
Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...
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Prior Authorization Will Be Required in Medicare in 2026
Medicare Original's historic freedom is set to change. Starting January 1, 2026, prior authorization will be required for ...
The six-year WISeR Model trial begins January 2026, affecting traditional Medicare recipients seeking certain medical ...
The state estimated that one of its Medicaid cuts, requiring prior authorization for applied behavior analysis and opening up ...
Gov. Jared Polis ordered the Colorado Department of Health Care Policy and Financing to reinstate prior authorization for ...
Primary care physicians face growing administrative burden, owing to insurance rules, the way value-based payment is implemented, and too many care quality measures.
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