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Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

High rates of prior authorization denials and limited state oversight suggest some Medicaid managed care beneficiaries aren’t able to access necessary medical care, according to a recent report by the ...

Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, ...

Use of prior authorization in the Medicare Advantage (MA) program continues to increase, according to a report from KFF. More than 46 million prior authorization requests were submitted to Medicare ...

Medicare Advantage insurers received about 46.2 million prior authorization requests in 2022, up from 36.5 million in 2021, according to a recent KFF report. Of these 46.2 million requests, 7.4% (3.4 ...