Insurance red tape is delaying care, driving up costs and consuming hours of physicians' time — and patients are paying the price.

A new study finds that prior authorization requirements vary widely across major insurers and suggests large language models ...

CMS has added electronic prior authorization to its Health Tech Ecosystem. The agency says health systems, hospitals, ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior authorization, setting coverage decision deadlines, and promoting ...

On April 3, the Pennsylvania Insurance Department issued a news release touting the relief provided by a new external review ...

Prior authorization requirements cost the U.S. healthcare system an estimated $35 billion each year, and their overuse has triggered a backlash, stirring some policymakers into action. Whether these ...

Prior authorization companies are moving into ambient listening, while ambient listening companies are expanding into prior authorization — a trend underscored by yet another partnership bridging the ...

Reforming prior authorization processes has been on the regulatory menu for a while. Both patients and providers have argued that prior ...

Success in the model and any future expansions will hinge not only on the precepts of prior authorization but also on attention to underlying coverage variation, transparent reporting of technical ...

The current prior authorization (PA) process is an administrative failure. Beyond the excessive time and paperwork required, ...