A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers.

June 12 (Reuters) - Cigna's (CI.N), opens new tab pharmacy benefits services unit Express Scripts requested on Friday that a federal court strike down a ‌Tennessee state law that it says would ...

WASHINGTON — Sen. Elizabeth Warren, D-Mass., urged the Defense Department to audit Express Scripts to determine if the pharmacy benefit manager is overcharging for prescriptions and steering military ...

Surescripts®, the nation’s leading health intelligence network, released new data illustrating significant impact of solutions, including Prior Authorization Automation and Real-Time Prescription ...

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. May 14, 2026 – Reforming prior authorization processes has been on the regulatory menu for a while.

The proposed rule aims to improve prior authorization for prescription drugs by requiring electronic prior authorization, setting deadlines, and promoting transparency through annual reporting. The ...

Health insurance giant UnitedHealthcare said on May 5 it will eliminate prior-approval requirements for 30% of health care services amid complaints that administrative tasks delay or deny people care.

The company said, by the end of 2026, it will remove prior authorization requirements for certain outpatient surgeries, diagnostic tests such as echocardiograms, and some outpatient therapies and ...

For years, prior authorization has remained among the most contentious pressure points between payers and providers, but those tensions may finally be seeing tangible improvement. Over the last year, ...

UnitedHealthcare is the latest insurance company to scale back pre-authorization requirements by 30%, which means more treatments and medications prescribed by doctors can be processed without ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer approval, the nation's largest insurer said. Prior authorization is currently ...