Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to tackle rising health-care costs.

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

On January 14, 2026, Massachusetts Governor Maura Healey announced that the Division of Insurance (DOI) will be promulgating ...

A man with leukemia wrestles with his insurance company for access to medications to manage his excruciating pain. An oncologist is forced to delay needed treatments while arguing for health insurance ...

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, Deloitte finds.

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

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year ...

Insurance Commissioner Vicki Schmidt told Kansas lawmakers the prior authorization process is broken, but indicated lobbyists will oppose legislation.

Yaver is an assistant professor of health policy and management at the University of Pittsburgh. When Jessica (not her real name) learned in her 20s that she had severe immunodeficiency, she was ...

The paperwork burden of prior authorization keeps climbing, and for some ASCs, the only way through is to treat it like a daily fight. Elisa Auguste, administrator at East Setauket, N.Y.-based ...

They often deny coverage via snail mail. Here’s what happened when my family got a note like that 36 hours before cancer surgery. By Ron Lieber Disease doesn’t ask permission before invading a body, ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...