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

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

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

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

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

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

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

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

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 ...

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 ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

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