A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...

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

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

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 ...

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

The prior authorization process helps ensure that healthcare professionals are complying ... A person may need to complete certain forms beforehand. These may ask for personal details and ...

By streamlining this process, Cohere seeks to decrease treatment delays and reduce healthcare providers’ workload, said CEO Siva Namasivayam. The startup automates prior authorization by ...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

Representatives Mark Green, MD, (R, Tenn.) and Kim Schrier, MD, (D-Wash.) reintroduced H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025. The bill calls for additional ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization ... Network is an integrated health care delivery system serving 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 ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...