Prior authorization typically takes about 10 days for Original Medicare and Part C. However, starting in 2025, CMS has reduced this to 7 days. Doctors can also request an expedited review ...

State lawmakers are considering that proposal along with bills that could restrict use of prior authorization for physical ...

More older Americans are challenging their Medicare Advantage plan's denial of a service, and it's paying off.

The practice differs by insurance company and plan, but the rules often require patients or their doctors to request permission ... establish new prior authorization rules for Medicare Advantage ...

The Center for American Progress submitted a comment letter to the Centers for Medicare and Medicaid Services on its request for information on Medicare Advantage data.

"No one should have to wait days-or weeks-for approval to receive needed care,” said Ganesh Padmanabhan, CEO of Autonomize AI ...

The practice differs by insurance company and plan, but the rules often require patients or their doctors to request ... prior authorization is particularly burdensome for patients covered by ...

The practice differs by insurance company and plan, but the rules often require patients or their doctors to request ... prior authorization is particularly burdensome for patients covered by ...

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...