Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment ...

With denial rates at 4 percent in 2025, the Dallas-based, tech-forward insurer is outperforming national averages.

Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify ...

Bipartisan House bill targets MA prior authorization timelines and denial practices to improve Medicare Advantage patient ...

Participating payers reported an 11% reduction in prior authorization requirements overall, with Medicare Advantage exceeding ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

Artificial intelligence is beginning to streamline Medicaid’s prior authorization process, cutting paperwork and speeding care decisions. From pre-filling forms to real-time approvals, automation ...

UnitedHealthcare pares back prior authorizations and speeds payments for 1,500 rural hospitals, expanding nationwide by fall 2024.

Prior authorization is meant to control healthcare costs, but for many providers it creates delays, extra paperwork, and stress for both staff and patients. Physicians often face unpredictable insurer ...

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.