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 ...

A panel of Idaho lawmakers that studied issues in the health insurance market on Wednesday formalized plans to develop ...

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

BOISE— Legislators held a final meeting for the Idaho Health Insurers Working Group on Wednesday, Oct. 14, hearing a broad ...

Centene is the latest insurer to adopt a gold card program as states and the Trump administration push for prior ...

Last year, many of America’s largest health insurers vowed to reduce their use of prior authorization — the extra layer of approval insurers require before covering a medical expense. The industry’s ...