The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

The days of faxed forms and days-long waits for prior authorization approvals are officially ending under the new CMS 2026 rules. With the Interoperability and Prior Authorization Final Rule now in ...

FLORHAM PARK, N.J. — Specialty pharmacy company Amber Pharmacy has implemented a prior authorization system provided by Armada Health Care, Amber said. Amber announced that it had incorporated ...

CVS Caremark is expanding its use of Surescripts’ Touchless Prior Authorization platform to accelerate approvals for select specialty medications. The prior authorization technology connects directly ...

The pharmacy landscape is shifting rapidly in 2026, driven by CoverMyMeds' latest integrated medication access launch and the CMS proposed rule extending prior authorization interoperability standards ...

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.

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Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Over the last several years, prior authorization has become a ...

Jaclyn Mayo has multiple sclerosis, an autoimmune disease that damages the nervous system and can mess with coordination and balance. To get steadier on her feet, Mayo had been trying to lose weight: ...

CVS Health reported progress on key affordability and access initiatives, including reduced prior authorization burdens and expanded biosimilar adoption. The company has about half as many medical ...

Prior authorization is a common utilization-management tool among Medicare Advantage plans. However, service-, area-, and carrier-level patterns suggest variation in how plans use prior authorization.