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Health insurers pare back some prior-approval requirements
21+ hour, 34+ min ago (355+ words) U. S. health insurers have made it easier for doctors to get approval before providing certain types of treatment, industry groups said, calling it a sign of progress toward alleviating burdensome delays for patients. In addition to reducing the number of approvals…...
Major payers say they cut prior authorizations by 11%
1+ day, 1+ hour ago (808+ words) Leading healthcare payers said they have pared back prior authorizations after taking a pledge last year to simplify the notoriously cumbersome process. America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) reported yesterday that participating payers…...
Payer denials and prior authorization delays are top RCM concerns
1+ day, 3+ hour ago (333+ words) Hospitals are looking to AI automation to streamline revenue cycle processes and to offset payer denials, their biggest issue, according to a'survey by the Healthcare Financial Management Association (HFMA), analyzed by AI-led services firm Guidehouse.' Seventy-eight percent of providers who…...
The Uncertain Impact Of Medicare Advantage Scrutiny - Law360 Healthcare Authority
1+ day, 20+ hour ago (81+ words) The Uncertain Impact Of Medicare Advantage Scrutiny'Law360 The Uncertain Impact Of Medicare Advantage Scrutiny By Yeji Jesse Lee " April 7, 2026, 5: 57 PM EDT Recent Articles By Yeji Get instant access to the one-stop news source for business lawyers Email (NOTE: Free email…...
The Uncertain Impact Of Medicare Advantage Scrutiny
1+ day, 20+ hour ago (25+ words) Law360 The Uncertain Impact Of Medicare Advantage Scrutiny By Yeji Jesse Lee To view the full article, register now....
Insurers committed to cutting prior authorizations have eliminated 11% so far
1+ day, 22+ hour ago (362+ words) Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of the provider industry. Now, AHIP and the BCBSA are providing an update. The move was heralded by the industry and by regulators in the…...
Blue Shield of California Builds on Industry Progress to Make Prior Authorization Easier
1+ day, 22+ hour ago (371+ words) Blue Shield of California | News Center Blue Shield of California Builds on Industry Progress to Make Prior Authorization Easier Getting the care you need shouldn't feel complicated. That's why Blue Shield of California is continuing to improve how prior authorization…...
Group cutting prior authorizations by 11% includes Aetna, Cigna
1+ day, 20+ hour ago (150+ words) Modern Healthcare Group cutting prior authorizations by 11% includes Aetna, Cigna - A group of nearly 50 health plans says it has reduced prior authorizations by 11% so far in 2026 compared with 2024. - The coalition also said it is on track to improve the standardization…...
Modernizing Prior Authorization: Progress on Our Commitments to Members and Providers
2+ day, 6+ hour ago (95+ words) Since announcing our commitments, Centene has made measurable progress across several key focus areas:" Maintaining Human Review:"As has always been our process, any denials are reviewed by a licensed medical professional." Transforming the health of the communities we serve,…...
Map shows best'and worst'states for children's health care
2+ day, 1+ hour ago (172+ words) Apr 07, 2026 at 12: 20 PM EDT Apr 07, 2026 at 12: 21 PM EDT A new report'from personal finance website Wallet Hub has ranked the states with the best'and the worst'children's health care. Wallet Hub reported that about 94 percent of children have health insurance, but families…...