Arkansas, Louisiana, Michigan and West Virginia are among the states that have since passed laws (PDF) that require a form of gold carding. Other jurisdictions have passed some exemptions. For example ...

The AMA is fighting to speed up prior authorization. The time-wasting, care-delaying, insurance company cost-control process known as prior authorization has gone from a rarely employed tool to ...

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

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...

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 ...

The Kentucky Medical Association advocates for prior authorization reform to improve patient care and reduce physician burden. We live in a complicated world and try to find ways to simplify it.

Rales will also join Plenful’s board of directors. Plenful has developed an AI platform that helps providers with prior authorization, 340B compliance and auditing, as well as order and referral ...

The new law puts deadlines on prior authorization decisions and puts denials in the hands of doctors, not insurance analysts. North Dakota Gov. Kelly Armstrong signed Senate Bill 2280 into law on ...

The Ohio Association of Health Plans disagrees with prior authorization criticisms but agrees in principle about the importance of the doctor-patient relationship. Joanna Escobar was in and out of ...