Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that—here's what you need to know.

Some physician practices are charging patients for prior authorization requests or requiring annual administrative fees for such requests and letters of medical necessity, among other services. In ...

Prior authorization (PA)—where healthcare access, costs, and patient experience meet—has long been considered by many as a necessary evil in the effort to rein in U.S. pharmacy costs while improving ...

There are three key ways to reduce the administrative burden in the US health care system.

Six months after Eric Tennant died following a protracted battle with his health insurer over doctor-recommended cancer care, ...

LAS VEGAS – Ten percent of payers and 33% of providers have not yet started work on Prior Authorization Application Program Interface requirements, according to survey results released by the ...

"Penguin Ai's Snowflake Native Apps help customers turn healthcare data into automated action," said Fawad Butt, CEO, Penguin Ai. "By bringing prior authorization and medical coding intelligence ...

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last ...

Insurers have cut prior auth requirements by 11%, reducing 6.5 million authorizations and easing access across Medicare Advantage and commercial plans.

U.S. health insurers have made it easier for doctors to get approval before providing certain types of treatment, industry ...

Main Capital invested in Cisbox in February 2024 Main invested in Millum in January 2024 The merger will form a pan-European source-to-pay software provider Cisbox and Millum have agreed to merge, ...