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.

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

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, ...

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

The Wasteful and Inappropriate Service Reduction Model, or WISeR, is being tested in six states, including Oklahoma, starting ...

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

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 insurer will cut its MA payment timelines in half for select providers in Oklahoma, Idaho, Minnesota and Missouri in an ...

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

Governor Healey initiates reforms to streamline Massachusetts' health care system, focusing on affordability and ...