Gold Card’ programs were supposed to ease prior authorization burdens for doctors whose treatment recommendations are ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

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In 2026, the Centers for Medicaid and Medicare Services will implement a prior authorization for certain services covered under Medicaid in Oklahoma, Ohio, Texas, Arizona, New Jersey, and Washington.

Skeptics note that efforts to streamline the much-despised prior authorization system have failed twice before.

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Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Now, federal officials say help may be on the way. Health and Human Services Secretary Robert F. Kennedy Jr. announced that ...

CMS announced a new experimental model to streamline prior authorizations in traditional Medicare that will target which of ...