Surescripts®, the nation’s leading health intelligence network, released new data illustrating significant impact of ...

A new study finds that prior authorization requirements vary widely across major insurers and suggests large language models ...

The effort, part of the agency’s ambitious Health Tech Ecosystem, aims to accelerate the industry’s progress before ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

UnitedHealthcare’s scale makes its 30% prior-authorization reduction especially consequential, signaling reputational and ...

A slew of provider and tech organizations have signed on to the Centers for Medicare and Medicaid Services’ push for the ...

If you've spent years managing your health across MyChart, Express Scripts, and WellCare, you know the frustration of disjointed alerts and opaque prior authorization processes. But as of May 2026, ...

From SCRIPT standards to AI copilots: the road ahead CMS’s final rule mandates the NCPDP SCRIPT 2023011 standard for Medicare Part D e-prescribing by 2028, replacing the 2017071 version. The standard ...

For many in long-term care, Monday’s announcement about voluntary prior authorization reforms reeks of unpleasant déjà vu. That’s because they’ve been denied before. In 2018, several major insurers ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

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 ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...