4 recommendations to bring oversight to AI-driven prior auth: MACPAC
(By: Elizabeth Casolo for Becker’s Hospital Review) The Medicaid and CHIP Payment and Access Commission approved recommendations to boost transparency with
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Prior Authorization
What’s the latest on prior authorization reform?
(By: Jakob Emerson for Becker’s Hospital Review) For years, prior authorization has remained among the most contentious pressure points between
Read MoreRegulation of AI in Prior Authorization and Claims Review: A Look at Federal and State Consumer Protections
(Authors: Kaye Pestaina, Rayna Wallace, Michelle Long, and Justin Lo for The Kaiser Family Foundation Published: May 6, 2026) Rapid
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Bipartisan House bill targets MA prior authorization, denial practices: 5 notes
(By: Elizabeth Casolo for Becker’s Hospital Review) A House bill introduced April 20 by a bipartisan group of representatives, five
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‘They’ve turned the dial up on denying preauthorizations’: CHS blames payers for volume drop
(By: Alan Condon for Becker’s Hospital Review) Franklin, Tenn.-based Community Health Systems is pointing to two converging forces behind a
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UnitedHealthcare pares back prior authorizations, speeds up payments for rural providers
(By: Elizabeth Casolo for Becker’s Hospital Review) UnitedHealthcare is expanding rural healthcare initiatives to cover the entire U.S., according to
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Insurers have cut prior auth requirements by 11%: AHIP-BCBS
(By: Jakob Emerson for Becker’s Hospital Review) Insurers have eliminated 11% of prior authorization requirements across a range of medical
Read MoreInsurers’ Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied
(Author Kaye Pestaina for The Kaiser Foundation published April 2, 2026) For many Americans, especially those with a chronic condition,
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Payers’ prior authorization denial rates go public: 5 notes
(By: Jakob Emerson for Becker’s Hospital Review) For the first time, payers must publicly post data on how often they
Read MoreAre the Tradeoffs from Prior Authorization Worth It?
(Author: Drew Altman for The Kaiser Family Foundation Published: Mar 16, 2026) Costs are the health care problem that most
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