Your office recently put out a request for information related to AI in healthcare. What are you hoping to learn from it?

Patients view prior authorization as the biggest burden in navigating the healthcare system, according to a new KFF poll. | Patients view prior authorization as the biggest burden in navigating the ...

When the doctor says you need a prescription or treatment, sometimes you need approval from your health insurance first.

The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

While major provider organizations welcomed insurers' pledge earlier this week to reform prior authorization, these groups withheld praise without yet seeing the efforts bear fruit. Bobby Mukkamala, M ...

Acquisition strengthens Onyx’s ability to help health plans modernize ePA, scale to meet CMS deadlines, and maximize ...

Dana Kelso Spradling says she's dealing with an insurance nightmare, after the medication she had already received a prior ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...