Health insurer Humana is scaling back the number of medical services subject to prior approval and speeding up decisions ...

Prior-authorization requirements have increased significantly over the past few years. For example, virtually all enrollees in Medicare Advantage plans are required to obtain prior authorization ...

I was diagnosed with osteopenia, or low bone mineral density, at an unusually young age. Shortly after my initial diagnosis, my condition progressed into full blown osteoporosis. Unfortunately, the… ...

What if a denied prior authorization request could be appealed using ChatGPT? It’s an idea being discussed at Grady Health in Atlanta. “It is possible to take a payer denial letter, load that ...

Insurer prior-authorization delays put lives at risk. ... and finally sent a letter to the state attorney ... 75% are approved upon appeal. If nearly 95% of prior authorizations are ultimately ...

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

GI docs say the payer is using AI to move large volumes of services through prior authorization. Effective June 1, UnitedHealthcare will require prior authorization for nearly half (47%) of ...

The Trump administration on Thursday proposed changes that aim to improve patient and provider access to medical records and reform prior authorization.. The proposed rule would require payers ...

Expert Opinion CMS's Proposed Rule Improves Prior Authorization Processes A discussion of the Centers for Medicare & Medicaid Services' recent focus on promoting patient care by removing ...