Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

The company and other insurers have faced backlash from patients who say they were denied necessary care and providers say ...

UnitedHealth is again being accused of improper business practices for allegedly paying nursing homes to avert resident ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

UnitedHealth Group and Amedisys this week entered into agreements to divest certain care, home health and hospice care centers to affiliates of home care firms BrightSpring Health Services and The ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...

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 ...

In the case of the other family, a U.S. citizen child suffering from a rare form of metastatic cancer was deported without medication or the ability to consult with their treating physicians–despite ...