Provider groups say new reforms proposed by the Biden administration to streamline prior authorization are a good start. But much more needs to be done—including creating gold-card programs that let ...

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. The CMS will soon make it more difficult for ...

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...

Providers, health plans and vendors represented by the nonprofit organization CAQH voted to set a two-day limit on prior authorization requests, the group said Feb. 4. Prior authorization comes at a ...

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

Chiquita Brooks-LaSure, administrator for the Centers for Medicare and Medicaid Services, and U.S. Surgeon General Vice Admiral Vivek H. Murthy recently convened an in-person roundtable discussion on ...

Survey from Cohere Health finds overwhelming support for AI and digital-first solutions to ease administrative burden and speed patient access to care BOSTON, Oct. 7, 2025 /PRNewswire/ -- Cohere ...

More than half of providers and 43% of payers have yet to start work on the application programming interface requirements of the interoperability and prior authorization final rule, according to a ...

Almost 80% of physicians surveyed by the AMA say patients are skipping care because of delays in prior authorizations. Prior authorizations are a consistent pain point in revenue cycle operations, and ...

LEHI, Utah, and LOUISVILLE, Ky., Feb. 28, 2025 /PRNewswire/ — Waystar (Nasdaq: WAY), a provider of leading healthcare payment software, today announced the launch of its Auth Accelerate solution, a ...