Over years of working on prior authorization, both at the state level and alongside colleagues across the country, I've seen ...

The proposed rule could amplify the meaningful progress made by healthcare technology innovators and provide a more comprehensive framework.

At Abarca Forward 2026, healthcare leaders came together to address one of the industry’s most persistent challenges: prior authorization. In this interview, Javier Gonzalez, president of PBM and ...

Last year, insurers made a series of commitments to streamline prior authorization, including improving transparency and standardizing electronic prior authorization. The commitments are being ...

The American Medical Association said it will "closely monitor" the rollout of the prior authorization changes and continue to work with regulators and legislators on this issue. (iStock / Getty ...

In 2025 alone, doctors and legislators across the country have already introduced more than 100 pieces of legislation meant to reform prior authorization. The cumbersome approval process is a leading ...

(L-R) White House AI and Crypto Czar David Sacks, Secretary of Health and Human Services Robert F. Kennedy Jr., President Donald Trump, Centers for Medicare and Medicaid Services Administrator Mehmet ...

Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...

Many states are enacting restrictions on insurers’ prior authorization policies, but these laws may increase costs and lead to other undesirable consequences. Many states have adopted or are ...

As you and your doctor talk about a treatment plan for the medical issue you came to discuss your assumption is that there are only the two of you in the examination room. But alas, that’s not true.