Where healthcare leaders stand on CMS API rule progress shows payers advancing while many providers lag behind the Jan. 1, 2027 deadline.

Most providers say having the majority of their payers support the prior authorization API requirements is extremely ...

Major health insurers have pledged to improve the prior authorization process, which has long frustrated Americans.

Don't let insurance delays stall your ulcerative colitis remission. Learn how to navigate prior authorization, step therapy, ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Requirement for prior authorization more common for patients identifying as Black, Hispanic and with non-Medicare insurance.

Orthopedic surgeon calls removal of prior auth red tape to reduce surgery delays and cancellations caused by insurance ...

Prior authorization — the process by which insurers review and approve or deny treatments prescribed by doctors — has become ...

Integrating advanced predictive modeling, automation, and embedded authorization capabilities to eliminate delays and strengthen revenue cycle performance. SANTA ROSA, Calif., March 12, 2026 ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...