The US Department of Health and Human Services said it will require that all new vaccines be tested in placebo-controlled trials before they’re licensed for use, raising urgent questions about the ...

Globally, the accelerating spread of AI shows no sign of abating, and laws and regulations are under greater pressure to keep up. Wenpei Yu and Yunsi Hu of Lifeng Partners, together with Dr. Anja ...

Navigating the healthcare system can be a complex and frustrating experience. Among the many challenges is prior ...

Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

Inefficiencies in prior authorization systems erode patient trust and can seriously impact care. Reform could start with automating the routine, eliminating the redundant and reimbursing the ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. The Improving Seniors' Timely Access to Care Act seeks to streamline the prior auth process in Medicare ...

Kaye Pestaina, director of the Program on Patient and Consumer Protection at the health policy research institution KFF, said it's difficult to track the prevalence of prior authorization denials ...

Prior authorization has been around for a long ... I understand the appeal of exempting trusted parties with good track records from PA requirements. On its surface, gold-carding sounds like ...

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...