A letter from House Republicans demands answers from California's public health insurance marketplace after it was uncovered the program was sharing sensitive patient information.

Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals ...

Prior authorizations are increasingly straining the healthcare industry, according to a survey of 1,000 practicing physicians in the U.S. The American Medical Association conducted the survey, which ...

LINCOLN — On June 5, Gov. Jim Pillen signed the Ensuring Transparency in Prior Authorization Act (LB 77) into law.

The change is part of a continuing effort for Florida Blue to drop some primary care physicians from insurance coverage ...

Cohere Health closed a Series C $90 million funding round on Wednesday, taking its total funding to date to $200 million. The Boston-based company, which was founded in 2019, aims to fix the ...

codes covered under this initiative have been approved without any involvement from AHN staff after care teams placed an order in the EHR. This touchless prior authorization initiative is powered ...

The updated Copilot helps health plans slash prior authorization turnaround times by up to 55%, ensuring that patients can begin treatment faster, avoid care delays ... imply any form of ...

Generally, Original Medicare (parts A and B) rarely asks for prior authorization because most medical care is preapproved ... There isn’t a specific form your healthcare professional needs ...

Wyoming is a step closer to new rules that would reign in how health insurance companies in the state approve and deny medical care ... necessity of prior authorization. “Blue Cross Blue ...

In addition to concerns about AI, the survey revealed concerns about delays in care ... prior authorization burdens include Humana (64%), Anthem/Elevance (59%), Aetna (57%), Cigna (55%), and Blue ...

UW Health's agreement with Anthem Blue ... The health care provider said that move could put patient care at risk. "Many of our patients already struggle with the overuse of prior authorization ...