A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare ...

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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 ...

Prior authorization was rated a major burden by 32% of insured adults and the single greatest barrier by 34%, surpassing ...

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, ...

Ninety-four percent of physicians reported that prior authorization led to delays in patient care, and has caused increased administrative burden, a March 29 survey from the American Hospital ...

Neither decision-support systems nor prior authorization for imaging may achieve cost savings, according to a report (pdf) by The Moran Company. The Access to Medical Imaging Coalition requested The ...

FedRAMP has slashed the time it takes to complete the security authorization of cloud services for federal agencies from 12-24 months to six months. The results of the “FedRAMP Accelerated” initiative ...