A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

The Medicare pre-authorization system, originally created to control costs and prevent fraud or overuse, is set for major changes in the coming years. These reforms will differ significantly between ...

On Monday, commercial insurer Cigna said it is no longer requiring prior authorization for certain CT exams, including those involving the heart, coronary arteries and bypass grafts with contrast.

Aug 24 (Reuters) - Health insurer Cigna Group CI.N said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical ...

Cigna is eliminating prior authorization requirements from 600 diagnostic codes in a bid to streamline the experience for both members and providers. The 600 codes represent nearly 25% of those that ...

CLEVELAND — Nearly all health insurers use "prior authorization requirements," meaning your health provider has to prove why you need what they're prescribing to your health insurer. Health insurers ...

Prior authorization is a commonly-cited pain point for physicians, leading to potentially lengthy delays in care as docs await insurers' OK to proceed with treatment. That's why Portland-based health ...

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...