Gold Carding Programs by State and Payer Adoption Rates
Texas's gold card program has qualified only 3 percent of physicians despite high approval rates.
Priya Subramaniam
Section
Prior Auth Reform
7 stories in Prior Auth Reform.
PAHPA and Federal Prior Authorization Legislation Status in Congress
Two stalled congressional fights threaten public health and patient care access.
Priya Subramaniam
Real-Time Prior Authorization Standards and FHIR API Payer Readiness
Practices must separate the 2026 and 2027 deadlines to avoid costly compliance mistakes.
Priya Subramaniam
Prior Authorization Burden Data and Physician Practice Time Costs
Physicians spend 13 hours weekly on prior authorizations, with denial rates varying wildly by payer.
Priya Subramaniam
Prior Authorization Approval and Denial Rate Reporting Under New CMS Transparency Requirements
Insurers' denial rates swing wildly—revealing prior auth as business strategy, not clinical care.
Renata Osei-Bonsu
CMS Interoperability and Prior Authorization Final Rule Implementation Timeline
Payers must meet two compliance deadlines that reshape how prior authorizations are processed.
Renata Osei-Bonsu
State Prior Authorization Reform Laws and Commercial Payer Applicability
State laws, not federal rules, now drive prior authorization reform for most commercial patients.
Colt Vanzetti