Prior Authorization – Page 2 – medicarereport.org

Friday, September 11, 2026

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Health Care Finance Legislative Update Medicare Advantage Prior Authorization

Eileen Cook April 28, 2026April 28, 2026 Healthcare Finance, Legislation, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

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,

Health Care Finance Health Insurance Prior Authorization

Eileen Cook April 23, 2026April 23, 2026 Claim Denials, Health Insurance, Healthcare Costs, Healthcare Finance, Preauthorization

‘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

Health Care Finance Prior Authorization Rural Health

Eileen Cook April 21, 2026April 21, 2026 Healthcare Finance, Prior Authorization, Rural Health

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

Health Care Finance Health Insurance Prior Authorization

Eileen Cook April 8, 2026April 8, 2026 Health Insurance companies, Healthcare Finance, Prior Authorization

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

Affordable Care Act (ACA)CMS Employer Healthcare Health Care Finance Health Insurance Medicare Advantage Prior Authorization

Eileen Cook April 3, 2026April 3, 2026 Claims Denials and Appeals, Healthcare Costs, Healthcare Finance, Medicaid, Medicare Advantage, Medicare Part D, Prior Authorization

Insurers’ 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,

CMS Prior Authorization

Eileen Cook March 31, 2026March 31, 2026 Care Denials, CMS, Prior Authorization

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

CMS Prior Authorization

Eileen Cook March 17, 2026March 17, 2026 Healthcare Costs, Healthcare Finance, Prior Authorization

Are 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

Part D/Prescription Drugs Prior Authorization

Eileen Cook February 26, 2026February 26, 2026 Medicare Part D, Prior Authorization

Can’t get a prescription renewed? Here’s how to cope with prior authorizations

(By Sarah Boden for NPR) A woman with multiple sclerosis wanted to be able to walk up the stairs without

Artificial Intelligence Legislative Update Prior Authorization

Eileen Cook February 25, 2026February 25, 2026 AI, AI Powered Prior Authorization, Prior Authorization

Alabama bill would restrict insurers’ use of AI in prior authorization decisions

(By: Jakob Emerson for Becker’s Hospital Review ) The Alabama Senate has passed legislation that would impose new requirements on

CMS Health Care Finance Health Care Redesign Medicare - General Prior Authorization

Eileen Cook February 11, 2026February 11, 2026 CMS, Healthcare Finance, medicare, Medicare’s WISeR Model, Older Adults, prior authorization requirements

Examining the Potential Impact of Medicare’s New WISeR Model

(Authors: Alex Cottrill, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman, and Misha Segal for The Kaiser Family Foundation Published: Feb