Some spine procedures including spinal fusion, lumbar decompression and vertebral augmentation will need prior authorization under CMS’ new Wasteful and Inappropriate Service Reduction model, a move ...

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

Optum Rx is nixing reauthorization requirements for more than 60 additional medications. | The PBM giant's list of drugs ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...