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 ...
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.
Insurance Commissioner Vicki Schmidt told Kansas lawmakers the prior authorization process is broken, but indicated lobbyists will oppose legislation.
An Idaho department announced this month that families on Medicaid would face new restrictions on physical, occupational ...
R1 RCM has launched a new tool designed to automate and streamline the prior authorization process at scale. The tool, called ...
There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...
"Medically necessary" is often a four-letter word for patients.
CHICAGO, Jan. 15, 2026 (GLOBE NEWSWIRE) -- R1 (“R1” or the “Company”), the leader in healthcare revenue management, today announced the launch of R1 Prior Authorization, a comprehensive solution ...
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