CMS has added electronic prior authorization to its Health Tech Ecosystem. The agency says health systems, hospitals, ...

The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

The Centers for Medicare and Medicaid Services (CMS) is adding electronic prior authorization to the Health Tech Ecosystem, ...

The planned cuts come as payers face ongoing pressure to reduce prior authorization use. For example, a recent initiative led ...

The influential advisory group is recommending policies to boost human oversight and visibility into how Medicaid plans are ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Andrew Mellin, M.D., discusses Surescripts’ pilot program for prior authorization system, which pulls clinical data from EHRs ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

With denial rates at 4 percent in 2025, the Dallas-based, tech-forward insurer is outperforming national averages.

CUPERTINO, CA / ACCESSWIRE / August 27, 2024 / Infinx Healthcare, a leading provider of AI-driven patient access and revenue cycle solutions for healthcare providers, has been recognized as a Sample ...

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare (parts ...