Modern Healthcare1d
Prior authorization reform falls short amid public frustrations
For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic ...
Honolulu Star-Advertiser9dOpinion
Column: State must rein in health care prior authorization process
Mainland corporations are given millions of dollars by Hawaii insurance companies to interfere with decisions made between ...
North Carolina Health News1d
Legislative battle continues over how to address health care costs in North Carolina
The N.C. Senate and House of Representatives differ on how to make health care more affordable and accessible, including ...
Opinion
The American Journal of Managed Care3dOpinion
Prior Authorizations and the Adverse Impact on Continuity of Care
Prior authorizations create substantial administrative and financial burdens on physicians and patients and can disrupt the continuity of care.
NC Senate passes health care overhaul that would crack down on ‘surprise billing’
The bill would also ban insurance companies from using artificial intelligence as the “sole basis” for denying requests for ...
Modern Healthcare1d
CMS punts on Medicare Advantage AI prior authorization, marketing
Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...
Fierce Healthcare8d
Bipartisan bill targets prior authorization transparency, physician decision-making
Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials ...
States try to rein in health insurers' claim denials, with mixed results
Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care — without a human actually ...
Silna Health Announces $27 Million in Funding to Tackle America's Prior Authorization Crisis
Silna Health, which uses AI to manage prior authorization, benefit checks and eligibility verification, today announced it ...
Opinion
Traverse City Record-Eagle13dOpinion
Fred Goldenberg: Prior authorization promotes better outcomes
As you and your doctor talk about a treatment plan for the medical issue you came to discuss your assumption is that there are only the two of you in ...
Doctors say health insurance approval reform would help patients get care faster
Doctors in Hawaii and across the country say preauthorization wastes their time, wastes millions of dollars, and even costs some people their lives.
Insurancenewsnet.com10d
States try to curtail health insurers’ claim denials, with mixed results
Health insurance companies are under increasing scrutiny for ... year of UnitedHealthcare CEO Brian Thompson has focused even more attention on so-called prior authorization, the process by which ...