Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

R1 RCM has launched a new tool designed to automate and streamline the prior authorization process at scale. The tool, called R1 Prior Authorization, manages the full authorization lifecycle through a ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

The model will leverage artificial intelligence (AI) to expedite prior authorization processes for certain items and services ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...