The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials as key issues.

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...

A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of issues people viewed as a “major ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...