Provider groups say new reforms proposed by the Biden administration to streamline prior authorization are a good start. But much more needs to be done—including creating gold-card programs that let ...

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

The health insurance industry has made strides digitizing and automating many of its core processes, yet prior authorization remains a largely manual, cumbersome process. Automating prior ...

CMS finalized a rule Jan. 17 aiming to streamline the prior authorization process and improve the electronic exchange of health information that it estimates will save $15 billion over 10 years. ACHP ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

WASHINGTON--(BUSINESS WIRE)--Electronic prior authorization (ePA) can significantly reduce the time between a request for prior authorization and a decision and the time to a patient receiving care.