Medicare recipients now face new hurdles in getting their care covered -- but only in a few states.

New effort will expedite approvals, promote access to care, reduce administrative burdens, and enhance the patient experience LOUISVILLE, Ky.--(BUSINESS WIRE)-- Humana Inc. (HUM), a leading health and ...

A screen displays the logo and trading information for Humana on the floor of the NYSE in New York (Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for ...

(Reuters) -Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the latest insurer to address the tedious paperwork process that has ...

Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care. Despite scrutiny of prior authorization practices in Medicare Advantage ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Prior authorization — in which a patient needs approval from the health plan before proceeding with a medical service — has long created a rift between payers and providers. It has gotten such a bad ...

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

Credit: Getty Images. Prior authorization requirements for oral cancer drugs on Medicare part D formularies have increased in recent years, research suggests. Prior authorization requirements for oral ...

Prior authorization—the process by which a health insurance company denies or approves coverage for a health care service before the service is performed—became standard practice beginning with ...