The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.
California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.
The American Medical Association (AMA) and a bipartisan group of Congressional leaders are looking to stop unfair prior authorization practices from health plans. Introduced by Rep. Suzan DelBene ...
UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...
Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...
UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...
Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
The world of prior authorization, and the hoops we need to jump through, has gotten just more and more ridiculous, bordering on the absurd, and I'm worried that things are about to get much worse.
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