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

Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. Patients ...

Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...

ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...

Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover ...

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

Governor Maura Healey announced a significant reform to health insurance prior authorization rules aimed at streamlining patient access to health care services, amid ongoing federal funding cuts.

BOSTON — Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state rul ...

Since 2010, more than a quarter-million physician practices have participated in Black Book's EHR user polls. Black Book has tracked specialty EHR user performance and client-reported outcomes since ...

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

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 ...

Company’s chief product officer explains how his company is helping eliminate the technical complexity and manual burden of ...