Ambient clinical intelligence company is working on a prior authorization solution with Availity, which runs a real-time ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.

Idaho families face new Medicaid therapy caps and fear worse is coming after Gov. Little proposed eliminating speech, ...

State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many ...

AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...

The American health insurance system is no longer a neutral mechanism for spreading risk or paying for care. It has become a ...

Surescripts®, the nation's leading health intelligence network, today announced a major expansion of its Touchless Prior Authorization technology, now reaching more than 76,000 prescribers across the ...

Few healthcare processes feel more entrenched than prior authorization — the insurer approval protocol that’s become shorthand for delays and red tape that complicates care and goodwill between ...

The world of prior authorization, and the hoops we need to jump through, has gotten just more and more ridiculous, bordering on the absurd, and I'm worried that things are about to get much worse.

WASHINGTON — The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and ...