Rheumatologists share how they are using AI platforms for clinical documentation, reducing EHR time, streamlining workflows, ...
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 ...
A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of issues people viewed as a “major ...
One third insured adults say prior authorization is a major burden in accessing care, highlighting insurer delays and denials ...
At first glance, the price of a power wheelchair can seem disconnected from its raw material bill. Aluminum frames, motors, ...
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
Silna Health’s solution evaluates whether clinical documentation meets payer requirements before a prior authorization is ...
The paperwork burden of prior authorization keeps climbing, and for some ASCs, the only way through is to treat it like a daily fight. Elisa Auguste, administrator at East Setauket, N.Y.-based ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.
A KFF analysis released today found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023. The report found that MA ...
During two House hearings, health insurance CEOs were questioned on rising healthcare costs, vertical integration and prior authorization.
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