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

Humana maintains a healthy balance sheet, in our opinion. Most of its cash and investments ($24 billion as of mid-2024) is held at its subsidiaries, though, and the company aims to hold about $500 ...

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 ...

AUSTIN, Texas, April 24, 2025 (GLOBE NEWSWIRE) -- Autonomize AI, the leader in healthcare-native AI, today announced a major update to its Prior Authorization Copilot that is delivering rapid, patient ...

The company will also demonstrate other AI tools aimed at helping automate the prior authorization approval and insurance identification processes. Such revenue cycle management tasks ...

On Jan. 16, Gov. Phil Murphy signed the legislation that implements mandated turnaround times for prior authorization requests under state-regulated health plans. In 2023, nearly 90 ...

The American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgery and the Georgia Society of Ophthalmology are praising insurer Humana for rolling back a prior ...

“We urge CMS to promptly finalize and implement these changes to increase transparency and improve the prior-authorization process for patients, providers and health plans,” wrote the lawmakers. “We ...

Two other Ways and Means Committee members, Rep. Suzan DelBene, D-Wash., and Mike Kelly, R-Pa., are long-time supporters of prior-authorization reform and were instrumental in formulating the ...