Prior Authorization – medicarereport.org

Friday, September 11, 2026

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Artificial Intelligence Medicare - General Prior Authorization

Eileen Cook June 23, 2026June 23, 2026 AI, CMS, Healthcare Finance, medicare, Prior Authorization

Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays

(By Darius Tahir for KFF Health News published June 23, 2026) Bill Curry, 65, raises cattle on the same land

Artificial Intelligence CMS Health Care Finance Medicare - General Prior Authorization

Eileen Cook June 22, 2026June 22, 2026 AI Powered Prior Authorization, CMS, Healthcare Finance, Mediare WISeR model, medicare

Is Medicare WISeR model working?

The Medicare WISeR (Wasteful and Inappropriate Service Reduction) Model is a six-year Medicare initiative, starting January 1, 2026, that uses

CMS DHS -OIG Health Care Finance HHS Prior Authorization

Eileen Cook June 11, 2026June 11, 2026 Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Prior Authorization, Prior Authorization denials

Unusually high rates of prior authorization denials

The Department of Health and Human Services’ inspector general’s latest report found three specific Medicare Advantage plans had the highest

CMS Health Care Finance Medicaid Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs Prior Authorization

Eileen Cook June 8, 2026June 8, 2026 CMS, Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Advantage in 2026: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization

(Authors: Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 5, 2026)

Health Care Finance Legislative Update Prior Authorization

Eileen Cook June 8, 2026June 8, 2026 Healthcare Finance, Healthcare Reform, Prior Authorization

Massachusetts prior auth regulations take effect: 6 things to know

(By: Elizabeth Casolo for Becker’s Hospital Review ) Prior authorization reforms in Massachusetts went into effect June 5. Democratic Gov.

Health Care Finance Health Insurance Prior Authorization

Eileen Cook June 4, 2026June 4, 2026 Health Insurance companies, Healthcare Finance, Prior Authorization

Major insurers share prior authorization requirements for just 14% of services: Study

(By: Jakob Emerson for Becker’s Hospital Review ) Across three major commercial insurers, only 14% of procedure codes that triggered

CMS Health Care Finance Prior Authorization

Eileen Cook May 14, 2026May 14, 2026 CMS, Older Adults, Prior Authorization

CMS taps 30 healthcare organizations for prior authorization initiative

(By: Naomi Diaz for Becker’s Hospital Review ) The Centers for Medicare & Medicaid Services is launching a new initiative

Artificial Intelligence Health Care Finance Prior Authorization

Eileen Cook May 12, 2026May 12, 2026 AI, AI Powered Prior Authorization, Healthcare Finance, MACPAC

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

Health Care Finance Health Insurance Prior Authorization

Eileen Cook May 7, 2026May 7, 2026 Healthcare Costs, Healthcare Finance, 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

Artificial Intelligence Consumer Data Prior Authorization

Eileen Cook May 6, 2026May 6, 2026 AI, AI Powered Prior Authorization, Claim Review, Consumer Protection

Regulation 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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