Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...
Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...
The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, Deloitte finds.
Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...
Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.
Rep. Lois Frankel said she is pushing back against a movement to add prior-authorization requirements to Medicare and to use ...
Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...
The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...
Governor Healey initiates reforms to streamline Massachusetts' health care system, focusing on affordability and ...
A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was ...
A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.
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