Prior authorization was rated a major burden by 32% of insured adults and the single greatest barrier by 34%, surpassing ...

Lawmakers sent a bill expanding subacute mental health care, a type of care that officials say is hard to access in Iowa, to ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

Issued Friday, the proposed rule also would require full disclosure of claims denials and appeals outcomes, according to a ...

Lalan Wilfong, MD, a medical oncologist well-known for his work in practice transformation, said he looks forward to creating "something more or less from scratch." Lalan Wilfong, MD, one of the ...

Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring ...

If your medication isn’t covered by insurance, learn how to save money with alternatives, assistance programs, formulary ...

The impact of using AI to evaluate these prior authorizations is unclear. AI could allow tech companies to automatically approve more cases, which could speed up decisions. However, companies could ...

DALLAS, TX Walnut Hill Medical (“WHM”) today announced its acquisition of TAMM Net, an Atlanta-based medtech clinical research organization with expertise in regulatory submissions, reimbursement ...

AI’s role in insurance is already spawning lawsuits and battles over its regulation. That's not slowing down its use.

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...

Doctors in multiple states report unpaid claims and care delays under the new federal program, as a lawsuit seeks answers about AI algorithms and data security.