Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. | Optum is rolling out new AI-powered tools that are aimed to reduce delays associated with ...

The pilot, launched in January 2026 in 6 states, could reduce wasteful spending, but increases provider paperwork and risks ...

Patients view prior authorization as the biggest burden in navigating the healthcare system, according to a new KFF poll. | Patients view prior authorization as the biggest burden in navigating the ...

Blue Shield is designing a centralized, machine-readable policy repository to enhance policy digitization and automation, speeding up prior authorization decisions. The organization has partnered with ...