Hawaii’s chronic shortage of health care professionals has plagued our state for decades. On the neighbor islands, we need ...

Insurance hurdles and the complexities of prior authorization create barriers to care, according to oncologists in a new ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...

The stated objectives of prior authorization (PA) are to reduce unnecessary care and costs. However, as a 2022 Department of ...

Will artificial intelligence finally streamline the cumbersome prior authorization process — or just add a new layer of ...

Waystar, a healthcare payment technology company that went public last year, is pointing to generative artificial ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements in Medicare, Medicare Advantage and Part D prescription drug plans. Five things to ...

Click here for more stories. Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is an ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

The packed agenda featured topics such as: prior authorization reform efforts; the use of genetic testing in life insurance underwriting; insurers’ use of artificial intelligence; prescription drug ...