If Medicare Starts Covering Wegovy, Will Private Insurers Follow Suit?
There is a general truth in the health insurance sector: If Medicare and Medicaid are given the green light to cover a certain drug, insurers in the group health and individual health insurance market usually follow suit. The Centers for Medicare
New Rule Aims to Expedite Prior Authorization Requests
The Centers for Medicare and Medicaid Services has published a final rule aimed at improving how prior authorizations are handled by health insurers. The measure primarily limits the time insurers have to approve or deny requests.In addressing wait times for
Insurers Make Changes to Prior Approvals Ahead of Rulemaking
After the Centers for Medicare and Medicaid Services proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S., a number of the country's largest insurers announced their own steps to improve the process. UnitedHealthcare
Moves Afoot to Improve Prior Authorization Times, Efficiency
The Centers for Medicare and Medicaid Services has proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S. Under the proposal, starting in 2026, insurers would be required to render a decision within seven
CMS Approves Medicare Coverage of ‘Breakthrough’ Medical Devices
The Centers for Medicare and Medicaid Services has issued new rules that require Medicare to cover medical devices that the Food and Drug Administration designates as "breakthrough" technology. The rule paves the way for giving Medicare recipients access to the latest