Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

The AHA today voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Nevada Gov. Joe Lombardo’s long-awaited health care policy proposal — initially hinted at in his January State of the State ...

Representatives Mark Green, MD, (R, Tenn.) and Kim Schrier, MD, (D-Wash.) reintroduced H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025. The bill calls for additional ...

New UB employees should use this form to request reimbursement for approved expenses when transporting themselves, their families, and household goods and personal effects to their new place of ...

Before selecting a vendor to aid in prior authorization management, health systems should conduct their own "needs assesment," according to Christine Migliaro, VP of front-end revenue cycle ...

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 ...

When it comes to reining in how insurers can use prior authorization, state legislatures have been busy this year. Since January, nearly a dozen states have passed laws for which state medical ...

Four key New Jersey updates: If a prior authorization request is denied, it must be done by a physician who is of the same specialty as the physician who manages the medical condition or disease at ...