For many physician practices -- especially those working with health maintenance organizations (HMOs) -- obtaining pre-authorization to perform certain treatments or procedures is a necessary evil: ...

In a landmark move, U.S. Health Secretary Robert F. Kennedy Jr. has announced a sweeping initiative to end the burdensome practice of insurance pre-authorization that has long frustrated patients and ...

Medicare open enrollment is in full swing and big changes are on the way in 2026 for providers – from physician fee schedules to a pilot test of prior authorization requirements in some states. With ...

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...

The Medicare pre-authorization system, originally created to control costs and prevent fraud or overuse, is set for major changes in the coming years. These reforms will differ significantly between ...