Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Major health insurers say they have cut prior authorizations, but the AMA says physicians report that the burden of prior ...

Geisinger Health Plan and software company Cohere Health are teaming up to simplify the prior authorization process and reduce provider burden. Through the deal, Danville, Pennsylvania-based Geisinger ...

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 ...

There are 5 steps to prior authorization when looking at it from a best practice standpoint. These steps include demographics, eligibility, determination, submission, and status retrieval. Tune into ...

Insurers large and small from across the country have announced a series of commitments they're making to reform one of the biggest pain points in the patient journey: prior authorization. Key steps ...

Prior authorization has been a bone of contention between payers and providers for some time now. Payers argue that it helps avoid unnecessary care and reduces costs, while providers say it creates ...

Prior authorizations are a critical part of the revenue cycle as they impact both reimbursement and patient access to care, and automation may help simplify the process. Many prior authorization ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

Health insurance exists to protect people, providing access to routine or potentially lifesaving care without breaking the bank. However, having insurance does not necessarily guarantee access or ...

Medicare Advantage rate cuts are coming next year, but prior-auth provisions slated for 2026 could tide palmier payer partnerships. CMS released finalized 2025 payment updates for the Medicare ...

Imagine you and your gastroenterologist have discussed a new ulcerative colitis (UC) treatment plan that promises to reduce your symptoms and the stress that comes with them. Then, when you go to ...