AI agent answered 163 payer questions autonomously in a single submission; platform enables patients to start complex therapies in as few as 48 hours BOSTON, April 21, 2026 /PRNewswire/ -- ...
Derived from real-world prior authorization activity across tens of thousands of specialty practices who use SamaCare, the ...
Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...
Wash., found procedures in the state that were previously approved in two weeks now take four to eight weeks to be authorized ...
On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require faster ...
Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...
UnitedHealth and CVS Health have reported significant progress in standardizing prior authorization processes as part of an industry-wide reform pledge. UnitedHealthcare has standardized over half of ...
Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...
Cigna is the latest health insurer to roll back prior authorization requirements, announcing Thursday that it will no longer require the approvals for nearly 25% of medical services. Cigna plans to ...
To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization ...
Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...
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