On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

New bipartisan bill would streamline prior authorization in Medicare Advantage, improving care access for older Americans.

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

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

As an emergency room physician, I know that time is one of a medical professional’s most vital resources. You could have a great doctor and a solid treatment plan, and catch the disease at its very ...

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

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

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 ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...

The Kempegowda International Airport in Bengaluru on Friday appealed to passengers to reach the airport at least three hours prior to the scheduled departure of flights. In a passenger advisory ...

The States and Territories Listing below provides information on each state regarding status of state authorization, programs available (with any current restrictions), and complaint information. The ...

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