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

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

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

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

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

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 ...

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 ...

The bill calls for additional transparency in prior authorization determinations, and would also require that Medicare, Medicare Advantage and Medicare Part D plans make decisions based on medical ...

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

Nevada Gov. Joe Lombardo’s long-awaited health care policy proposal — initially hinted at in his January State of the State ...

KALAMAZOO COUNTY, MI — More than 200 workers who provide services at Ascension Borgess hospitals will be laid off in advance of the hospital sales to an Indiana-based health care system. The ...