The federal government is testing whether artificial intelligence can help Medicare identify unnecessary medical care, speed ...

Guidewell, the parent company to health plan Florida Blue, has partnered with an artificial intelligence company to automate the prior authorization process. Florida Blue will become the first payer ...

For many years, traditional Medicare has operated almost entirely without prior authorization, a requirement that clinicians ...

UnitedHealthcare is reducing prior authorization requirements with new initiatives to ease administrative tasks and other challenges.

A new study has found that prior authorizations for anti–vascular endothelial growth factor treatment led to a delay in patient care for most patients. Anti-VEGF treatments have been used in patients ...

The Centers for Medicare and Medicaid Services finalized the CMS Interoperability and Prior Authorization Rule on Wednesday. CMS said the rule will improve the prior authorization process and save ...

Both the federal government and the Pennsylvania state government are taking steps to reform the prior authorization process. Attached is the Pennsylvania Insurance Department Press Release, issued ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts A and ...

The prior authorization process, integral for confirming the necessity and insurance coverage of medical treatments, has historically been an obstacle in healthcare. In its current state, it has the ...

Given the opportunity, most providers would like to set prior authorizations on fire. One accountable care organization based in the Pacific Northwest is doing just that, in a sense, by leveraging a ...

It's time to flip the system, and make insurers carry the burden of proof ...

Please provide your email address to receive an email when new articles are posted on . CHICAGO — A review of more than 1,700 prior authorization requests related to pain medication for people with ...