On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

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

The Data Security Program (DSP), implemented by the Department of Justice's National Security Division (DOJ/NSD) under Executive Order ...

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 ...

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...