Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...

Dear Representatives Kelly, DelBene, Bera and Joyce: ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...