Starting January 1, 2026, Ohio Medicaid will roll out new prior authorization requirements aligned with the federal CMS-0057-F rule. This shift will mandate faster decision times, electronic ...

The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...

In 2026, federal policy changes are reshaping prior authorization by requiring faster insurer responses, expanded drug coverage rules, and public reporting of approval and denial rates. Medicare ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.