More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative. In response to years of ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Please provide your email address to receive an email when new articles are posted on . Radiation oncologists reported prior authorization has caused adverse events and deaths. A significant number of ...

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers. Nearly 97% of ...

Relationships across the ASC ecosystem are under growing strain, but ASC leaders say payers are the clear pressure point. Five executives joined Becker’s to discuss how denials, shifting policies and ...

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...

With just under one million prior authorization requests analyzed, careviso's audit highlights what clinicians and patients alike have long known: while prior authorization was designed to ensure ...

Please provide your email address to receive an email when new articles are posted on . To accelerate the prior authorization process, physicians could use the electronic prior authorization system ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...