Behemoth health insurers claim this time-wasting practice improves care and saves everyone money. Look beyond the myths and find out the facts.

Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

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 ...

Recently, he said, a team at UnitedHealthcare was reviewing a prior authorization request for an orthopedic procedure when they discovered the surgeon planned to operate on the wrong side of the ...

Recently, he said, a team at UnitedHealthcare was reviewing a prior authorization request for an orthopedic procedure when they discovered the surgeon planned to operate on the wrong side of the ...

Recently, he said, a team at UnitedHealthcare was reviewing a prior authorization request for an orthopedic procedure when they discovered the surgeon planned to operate on the wrong side of the ...

Recently, he said, a team at UnitedHealthcare was reviewing a prior authorization request for an orthopedic procedure when they discovered the surgeon planned to operate on the wrong side of the ...

Even in plans with no caps, patients are not guaranteed unlimited treatment. Therapists say insurers repeatedly require prior authorization, demanding a new request every two or three visits. Insurers ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

Silna Health, which uses AI to manage prior authorization, benefit checks and eligibility verification, today announced it has raised $27 million in total funding. The company's $22 million Series ...

4x faster trend analysis to identify utilization pattern changes and outliers "Health plans want to support providers in delivering appropriate patient care and reducing abrasion," notes Cohere ...