More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...
Prior authorization workflows remain highly manual in today’s healthcare environment, even with advancements in machine learning and robotics process automation. But technology-enabled services may ...
Develop Health, an AI-powered eligibility and prior authorization automation platform, today announced its integration with athenaOne, bringing its end-to-end access automation directly into ...
WAYNE, N.J., Nov. 26, 2023 (GLOBE NEWSWIRE) -- Approximately half of recommended patient follow-up contained in radiology reports, including incidental findings, are not acted upon and often result in ...
The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...
One of the most inefficient and costly processes for providers and payers is the prior authorization procedure, but help is one way to ease the pain. For those not in the know, prior authorization is ...
CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...
Healthcare has reached a tipping point. Once considered a secondary concern, provider engagement now drives care quality, operational efficiency and payer-provider collaboration. Yet, fragmented ...
COLUMBUS, Ohio, Oct. 16, 2025 /PRNewswire/ -- Rhyme is excited to announce a collaboration with Microsoft to integrate with Microsoft Dragon Copilot to demonstrate that touchless prior authorization ...
Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...
As the number of Medicare Advantage enrollees has grown, so has the volume of prior authorization requests submitted to MA insurers. KFF released a report Aug. 5 that analyzes prior authorization ...
A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results
Feedback