Provider groups say new reforms proposed by the Biden administration to streamline prior authorization are a good start. But much more needs to be done—including creating gold-card programs that let ...

Scott Rosingnol with eHealth Exchange and others will address what providers and payers need to know at HIMSS26.

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. The CMS will soon make it more difficult for ...

The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.

Providers, health plans and vendors represented by the nonprofit organization CAQH voted to set a two-day limit on prior authorization requests, the group said Feb. 4. Prior authorization comes at a ...

Physicians have become increasingly frustrated with the tedium and manual effort required to manage prior authorization workflows, according to a recent survey by Surescripts. Prior authorization was ...

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Latest software innovation automates every step of the authorization submission process, reducing time by 70% and dramatically boosting auto-approval rates Prior authorizations pose significant ...