The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Johns Hopkins Medicine and UnitedHealthcare are at odds over an agreement that would keep the insurer’s health coverage in ...

Humana, the second-largest provider of Medicare Advantage Plans, has pledged to streamline the often frustrating Prior ...

UnitedHealth Group reported second quarter earnings Tuesday, for the first time not serving as the bellwether for the ...

There's a lot of hype around the potential for new technologies to fix the prior authorization process, but this rev cycle ...

Prior authorization is a process health insurers use to determine whether they will cover a prescription, medical procedure, ...

However, in December 2022, CMS proposed its own prior authorization regulations that included many of the provisions in that first version, such as mandating that "impacted payers" -- including MA ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from ...