State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many ...

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

AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...

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

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 ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

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 ...

In an effort to soften the payer/provider relationship, many large health insurers are rolling back on prior authorizations. UnitedHealthcare (UHC) is the latest to cut back on its prior authorization ...

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 ...