More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...
In August, AHIP, the trade association for health insurance companies representing the industry’s top players, announced that they reached a deal with the White House to reform prior authorization for ...
Follow live updates as Venezuelan leader Nicolás Maduro and his wife plead not guilty at their first court appearance in a ...
The last stage of prescribing may involve coordination between multiple parties, but it no longer needs to be defined by ...
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Transparency, prior authorization, PBM reform and PBM offered genomics testing are some the trends Formulary Watched tracked ...
Although the Centers for Medicare & Medicaid Services (CMS) issued a final rule on prior authorization, there is more that can be done to ease clinician burdens in this area, according to Rep. Suzan ...
Across healthcare, providers are rapidly deploying tools such as ambient clinical documentation, while payers are adopting AI-powered agents for a growing range of operational and administrative use ...
Transcure announced the introduction of a structured lineup of AI medical billing agents designed to address distinct functions across the revenue cycle management process. The announcement outlines a ...
Democrats raised constitutional concerns and said the Trump administration had misrepresented its goals in Venezuela, while ...
Marylanders will kick off 2026 under a broad slate of new laws, reshaping everything from property tax sales and workforce ...