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

Medicare’s new GLP-1 bridge program will provide eligible Part D prescription plan enrollees inexpensive monthly copays for ...

Dr. Debra Shapiro and her staff spend hours in their Cambridge practice each week asking permission from insurers to prescribe their primary care patients certain medications and procedures. The ...

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.

Prior authorization, where clinicians have to receive approval from insurers before offering certain services or medications, has become a controversial practice among providers, who argue it creates ...

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 ...

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 ...

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