Leaders at the Centers for Medicare and Medicaid Services are exploring proposals to limit health insurers’ use of tactics ...

Kowalski-McGraw, Ozeran, Berenji, and Schreiber are leaders of the End Burnout Group (EBG). For many clinicians, it's the ...

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

Hawaii’s chronic shortage of health care professionals has plagued our state for decades. On the neighbor islands, we need nearly twice as many doctors as we currently have to provide adequate access ...

Humata Health announced that Allegheny Health Network is the first health system to implement truly touchless medical prior authorization.

The packed agenda featured topics such as: prior authorization reform efforts; the use of genetic testing in life insurance underwriting; insurers’ use of artificial intelligence; prescription drug ...

A law signed Wednesday by Gov. Kelly Armstrong looks to reform the “prior authorization” process for patients. It sets ...

according to Commissioner Cory King BCBSRI already announced it is raising reimbursements by 15% on July 1 and cutting prior ...

The goal is to separate certifying clinical appropriateness from determining insurance coverage. Health insurers use prior authorization to make clinical decisions despite the inherent conflict of ...

To protect Californians' health insurance coverage in the face of continued attacks by the federal administration on the rights and access to health care for historically disadvantaged and vulnerable ...