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 ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

Click here for more stories. Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is ...

“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 ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

physicians should carefully read the prior authorization’s requirements, which Bansal notes may contain a treatment that the patient must fail before coverage, ahead of submitting the form.

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

In 2023, the company eliminated 20% of prior authorization requirements and in 2024, introduced a gold card program, which allows certain providers to skip prior authorization for specific services.

The implementation of AI has become widespread in healthcare, but physicians are concerned that unregulated AI use is increasing prior authorization denials, according to a May 7 report by the ...

UnitedHealthcare has notified providers that it will eliminate prior authorizations for home health services managed by Optum Home & Community (formerly NaviHealth). The change, which applies to ...

Physicians and other medical providers will tell you that prior authorization is out of control and has transcended any legitimate rationale.