Waiting for prior authorization of drugs affects a small portion of patients with age-related macular degeneration, resulting in vision loss.

Health insurers have spent the past year touting how they've cut pre-treatment review claims, but new data suggests that hasn ...

In an effort to reduce wasteful spending, the government is piloting a program that uses AI for insurance-coverage decisions.

Reed, PhD, named to the 100 Women in AI 2026 list, champions strict healthcare AI validation over simple administrative ...

The American Medical Association is calling on payers, EHR developers, standards organizations and others to join in on the ...

The Senate voted along party lines Thursday to defeat Democrats’ attempt to end WISeR, which they argue is delaying care for ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

"This isn't the end. We'll keep fighting back," one Democrat says ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...