Prior Authorization – Page 2 – medicarereport.org

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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

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

Health Care Finance Health Insurance 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

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

Artificial Intelligence Consumer Data Prior Authorization

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

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

Health Care Finance Legislative Update Medicare Advantage Prior Authorization

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,

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

Health Care Finance Health Insurance Prior Authorization

‘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

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

Health Care 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

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

Health Care Finance Health Insurance 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

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

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

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

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

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

CMS 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

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