Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

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

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

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, ...

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

Governor Healey initiates reforms to streamline Massachusetts' health care system, focusing on affordability and ...

Abridge, which serves more than 200 health systems, is projected to support over 80 million patient-clinician conversations ...

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 ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

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 ...