Health plans today announced an update on commitments to streamline, simplify and reduce prior authorization, a critical safeguard that helps ensure their members' care is safe, effective, ...

US health insurers have made it easier for doctors to get approval before providing certain types of treatment, industry ...

Major U.S. insurers cut prior authorization requirements by 11%, including over a 15% prior authorization across Medicare Advantage. Read more here.

Payers prior authorization denial rates must be publicly reported starting March 31, 2026, improving transparency for Medicare Advantage and ...

Penguin Ai, a healthcare artificial intelligence company, today announced the launch of its Prior Authorization and Medical Coding solutions as Snowflake Native Apps on Snowflake Marketplace. The new ...

Doctors in multiple states report unpaid claims and care delays under the new federal program, as a lawsuit seeks answers about AI algorithms and data security.

But making sense of the numbers isn't easy, experts say ...

There are three key ways to reduce the administrative burden in the US health care system.

It’s a lucrative shakedown if you can get it, and insurers have been getting it since the passage of the 1973 Health ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

The fifth annual Abarca Forward conference, hosted by the pharmacy benefit manager (PBM) Abarca Health at its headquarters in ...

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...