Some insurers limit sessions to just 20 a year. They also often pause coverage to require re-authorization of physical ...

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

Plenful has developed an AI platform that helps providers with prior authorization, 340B compliance and auditing.

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare ...

Leaders at the Centers for Medicare and Medicaid Services are exploring proposals to limit health insurers’ use of tactics ...

New legislation signed by Gov. Kelly Armstrong aims to protect patients from care-delaying snags in the health insurance ...

Pittsburgh-based Allegheny Health Network is partnering with Humata Health for AI-powered touchless prior authorizations.

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Before selecting a vendor to aid in prior authorization management, health systems should conduct a thorough "needs assesment ...

"We exist to solve prior authorization so patients can get the care they deserve," says Dr. Jeremy Friese, founder and CEO of Humata Health. Friese joins Bloomberg Intelligence healthcare analyst ...