The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions ...

As we learn more about the Prior Authorization Demonstration for Certain ASC Services, we will keep you updated. In the meantime, it will be interesting to see if CMS makes any other announcements ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from ...

Before the implementation of prior-authorization programs, the level of spending per NSAID prescription was similar in states that subsequently initiated a prior-authorization program and states ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by January 1, 2026.