Most physicians surveyed expressed concern that health insurance companies’ use of AI is increasing prior authorization denials.

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

In 2023, the company eliminated 20% of prior authorization requirements and in 2024, introduced a gold card program, which allows certain providers to skip prior authorization for specific services.

Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...

About 100 bills nationwide target this payer cost-control process that delays patient care. The AMA is fighting to fix prior authorization. When a patient from Indiana had to be airlifted via ...

Several states are considering regulating how insurers can use AI in prior authorization. In January, a California law took effect that prohibits payers from making coverage decisions based solely on ...