Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

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

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...