Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to determine what care can be covered for older adults.

Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...

Several health insurers are extending prior authorizations for elective services that have been canceled or deferred because of COVID-19. Blue Cross and Blue Shield of Minnesota shared with Becker’s ...

The healthcare industry is on the brink of a transformative shift in the way prior authorizations are managed. Traditionally, prior authorizations have relied heavily on an attestation model, where ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

Choosing between Original Medicare and Medicare Advantage? Key changes in 2026, including new out-of-pocket limits and prior ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers. Nearly 97% of ...

Trina Paul is a Breaking News and Personal Finance Writer at Investopedia, covering topics like retirement, consumer debt, and retail investing. She focuses on making complex financial topics ...

InvestigateTV also contacted a healthcare information educator in Louisiana, Jacqueline Jones, who replicated a portion of the team’s research. Jones looked at sub-set of tests and procedures and the ...