The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health care services, to Traditional Medicare. The government plans on using ...

In this part three interview of a video series, Hari Prasad, CEO of Yosi Health, told Managed Healthcare Executive editors that cutting administrative burdens through digitized prior authorizations ...

Hari Prasad, CEO of Yosi Health, said in an interview with MHE that AI can reduce administrative delays in prior ...

Dr. Alexandra Zaleta discussed actionable steps that individuals can take to advocate for a more person-centered insurance ...

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health insurers have pledged to voluntarily streamline and reduce prior authorization ...

"Insured to Death" argues that the U.S. health care system is failing due to profit-driven insurance companies and their ...

Nearly 50 health insurers, representing commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans, recently committed to simplifying and standardizing the prior ...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative.

Sundar Subramanian, a partner at PricewaterhouseCoopers (PwC) consulting affiliate Strategy&, has joined population health ...

In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered ...

Wasteful and Inappropriate Service Reduction (WISeR) model will use AI to review items and services that CMS deems vulnerable ...