Ohio is one of six states testing an AI-led prior authorization program for around a dozen medical procedures for patients ...

By a News Reporter-Staff News Editor at Cancer Daily-- New research on Cancer is the subject of a report. According to news originating from Pittsburgh, Pennsylvania, by NewsRx correspondents, ...

Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates ...

I speak with infusion leaders every day—from major health systems to independent infusion practices—and the same challenge comes up time and again: ...

The COVID-19 pandemic is changing the way healthcare does business – sometimes in temporary ways, sometimes in ways that may suggest permanent change when the crisis has passed. Prior authorizations ...

How smarter, EMR-integrated ePA eliminates noise, speeds resolution, and sets the stage for touchless prior authorization.

Prior authorization of drugs, diagnostic testing, or other medical services “is intended to ensure that health care services are medically necessary by requiring providers to obtain approval before a ...

KFF Health News. When Sally Nix found out that her health insurance company wouldn't pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. Denials ...

The letter from Sen. Richard Blumenthal comes one year after a Senate investigation criticized major MA payers for using predictive technology to deny post-acute care.

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

GI docs say the payer is using AI to move large volumes of services through prior authorization. Effective June 1, UnitedHealthcare will require prior authorization for nearly half (47%) of ...