Seven years in, supporters hope the answer is finally yes ...

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

Medicare Advantage plans use prior authorization to manage health care use. In recent years, these practices have come under intense scrutiny from policy makers. Using beneficiary enrollment data and ...

Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers.

Kathy Lemoine said her son was diagnosed with terminal cancer at 29, and that the family repeatedly ran into insurance prior authorization requirements for procedures.

This practice reveals a critical flaw: the formal healthcare system is often so unreliable that even its architects don't ...

UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from the agency’s inspector general.

She uses a large syringe to draw the medicine from a vial and loads the syringe into a plastic apparatus that looks like a ...

Nearly three years after Nicholas Crawford vanished without a trace, his family says they still have no answers.

New Authorization Requirement Hinders Rights to Movement, EducationBurkina Faso's military junta has approved a law requiring ...

Censuring the mayor is becoming routine on the Haslet City Council. This is the second time, but the mayor has stopped ...

Humata Health, the leader in AI-powered medical review technology, today announced a new standalone prior authorization platform built for independent practices, regional health centers and specialty ...