Prior authorization is overused, and existing processes present significant administrative and clinical concerns. That is why the AMA is fixing prior authorization by challenging insurance companies ...

"No one should have to wait days-or weeks-for approval to receive needed care,” said Ganesh Padmanabhan, CEO of Autonomize AI ...

BISMARCK, N.D. (KFYR) - The governor signed a bill on Wednesday that changes laws around prior authorization.

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...

A bill to reform “prior authorization” has passed both the North Dakota House and Senate. “Prior Authorization” means physicians must obtain approval from insurance companies before they can move ...

On March 13, the Missouri House of Representatives approved House Bill 618, which would reform healthcare prior authorization procedures required ... Lisa Russell covers health and aging for both West ...

During this past legislative session, key legislation that would have helped ease the burden of obtaining needed health care stalled and did not pass.

Funding shortages and Tricare contract problems continue to plague the military health care system, senior enlisted leaders testified before the House Appropriations Committee in Washington, D.C ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

While the final rule solidifies several changes — including measures to streamline prior authorization ... life insurance — to provide a clear health-related standard for these offerings.

HENRICO, Va. — Sheldon Ekirch spends a lot of time on hold with her health insurance company. This story also ran on CBS News. It can be republished for free. Do you have experience with prior ...

Prior authorization also contributes to physician burnout. Our country is about to face a major physician shortage. The Health Resources and Services Administration (HRSA) projected a shortfall of ...