Automation could reduce paperwork, but poorly governed systems may accelerate denials, errors and dangerous treatment delays.

As a Jan. 1 deadline looms for payers to adopt new prior authorization tech, Epic’s Vice President of Value-Based Care Ryan Bohochik breaks down the industry’s progress so far.

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

Memorial Hermann pointed to a variety of reasons for its decision, including intensifying competition in the market and ...

Sarasota Memorial expects to be out of UnitedHealthcare's Medicare Advantage network on Jan. 1. Here's why we plan to take ...

Long-acting injectable HIV pre-exposure prophylaxis (LAI PrEP) could significantly reduce HIV infections, but disparate ...

The companies will make technical improvements for self-funded plans in an expansion of the government’s 2025 Prior ...

How AON Puts Innovation into Practice to Streamline Prior Authorization - Community Oncology Alliance / Alti Rahman, American ...

CMS will retain the historical reward factor for the 2027 Star Ratings instead of implementing the previously planned Health Equity Index reward. Plans and participating practices should align ...

On October 26, 2026, TransUnion’s Board of Directors increased the share repurchase authorization by $1 billion to $2 billion in total and declared a cash dividend of $0.135 per share, an increase ...

U.S. federal agencies expand electronic prior authorization reforms for self-insured employers, with backing from major companies like Amazon and Google.

The Cayuga County Legislature will revisit a controversial proposal to change health insurance coverage for county retirees ...