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 ...

Humana has announced several steps it will take to ease prior authorization requirements. The insurer said Tuesday that by the start of next year, it will have fully eliminated about a third of prior ...

There are 5 steps to prior authorization when looking at it from a best practice standpoint. These steps include demographics, eligibility, determination, submission, and status retrieval. Tune into ...

Prior authorization has emerged as a flash point between payers and providers as the former tries to manage what they believe is waste in the system while the latter accuses payers of trying to deny ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates ...

Prior authorizations are a critical part of the revenue cycle as they impact both reimbursement and patient access to care, and automation may help simplify the process. Many prior authorization ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

Health insurance exists to protect people, providing access to routine or potentially lifesaving care without breaking the bank. However, having insurance does not necessarily guarantee access or ...

HCSC AI-enabled prior auth tool reduces claims submissions to 6 minutes Health Care Service Corporation is using augmented intelligence to accelerate prior authorization – up to 1,400 times faster – ...

Medicare Advantage rate cuts are coming next year, but prior-auth provisions slated for 2026 could tide palmier payer partnerships. CMS released finalized 2025 payment updates for the Medicare ...