News

1upHealth Launches Prior Authorization Solution and Technology Partnerships to Support CMS Electronic Prior Authorization Mandate for Health Plans
New Product Streamlines Prior Authorization to Improve Patient, Provider, and Payer Outcomes BOSTON, MA / ACCESS Newswire / ...
Fierce Healthcare8d
Senators reintroduce bill that seeks to reform prior authorization in Medicare Advantage
A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...
Modern Healthcare7d
Claim denials grew as prior authorization rejections fell in 2024
Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...
MedCity News3d
Why One Leader Is Calling Out Insurers’ Inaction on Prior Authorization
The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...
MarketScale8d
Prior Authorization May Result in Lower Insurance Payouts and Better Patient Outcomes
Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.
MedCity News9d
A Four-Part Roadmap for Responsible Prior Authorization
The simple truth is that the modern form ... clear that prior authorization reform is a collective responsibility, requiring support from public and private entities across the healthcare ecosystem.
Healio11d
Prior authorization shifts burden to clinicians and leaves patients waiting
In health care, physicians are accountable ... has not moved forward. Prior authorization specialists spend hours chasing down documentation, submitting forms and checking for updates.
Becker's Hospital Review9d
From hours to minutes: AI transforms MetroHealth’s pharmacy prior authorization process
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 ...