Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements ...

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Company’s chief product officer explains how his company is helping eliminate the technical complexity and manual burden of ...

Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover ...

ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...

Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. Patients ...

AI-powered prior authorization in Medicare Advantage and private insurance has attracted intense criticism, legislative action by state and federal lawmakers, federal investigations and class-action ...

Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...