In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Representatives Mark Green, MD, (R, Tenn.) and Kim Schrier, MD, (D-Wash.) reintroduced H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025. The bill calls for additional ...

The Boston-based company, which was founded in 2019, aims to fix the inefficiencies and administrative burden associated with the traditional prior authorization process. By streamlining this ...

You may also need pre-approval, or prior authorization, for coverage of certain care. Prior authorization is a review of a requested health care service by your regional contractor to see if ...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

The aim of the proposals would be to cut the number of medical procedures subject to “prior authorization,” meaning ones in which doctors have to fill out additional paperwork for ultimate ...

Nevada Gov. Joe Lombardo’s long-awaited health care policy proposal — initially hinted at in his January State of the State ...

BISMARCK, N.D. (KFYR) - The governor signed a bill on Wednesday that changes laws around prior authorization. Prior authorization is a process where your insurance company approves or denies ...

The California Assembly is considering a bill that would shorten the standard time limit for prior authorization reviews to 48 hours, from 5 business days today. The bill would cut the time a plan ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...