About 32% of Americans say prior authorization requirements are a major burden, more than billing confusion or finding ...

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

Health insurers are cautioning that prior authorization reforms could worsen health care cost increases, but a stream of doctors say the current system is plagued by administrative burdens and ...

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

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

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 ...

There are 5 steps to prior authorization when looking at it from a best practice standpoint. These steps include demographics, eligibility, determination, submission, and status retrieval. Tune into ...

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 ...

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 ...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative. In response to years of ...