GoodRx reports that prior authorizations by insurers can delay medication access, taking days to weeks. Appeals and urgent ...

In our most recent PRA submission for Form 13F, we estimated a total hour burden of 101,339.29 hours, with an external cost burden of $4,846,374. Estimates concerning the burdens associated with the ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year.

By keeping our AI and ML grounded in real-world medicine, we can shape a future where prior authorization works smarter, faster, and better for everyone involved.

Health insurers covering more than 250 million Americans recently unveiled a sweeping plan to streamline and reduce prior authorization requirements — a pledge met with cautious optimism by ...

Dozens of health insurance companies pledged on Monday to improve prior authorization, a process often used to deny care. The announcement comes months after the killing of UnitedHealthcare executive ...

Ochsner Health is expanding its use of Latent Health’s AI platform after its reduced medication prior authorization times to just 4-5 minutes. The technology is designed to both streamline ...

The news also comes shortly after Optum Rx's sister company, UnitedHealthcare, joined a slew of other major insurers in promising significant reforms to prior auth.

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior authorization to some services covered by Medicare fee-for-service.

This notice announces a 6-year model focused on reducing fraud, waste (including low-value care), and abuse in Medicare fee-for- service (FFS) via the implementation of technology-enabled prior ...

CMS Launches Prior Authorization Trial For Some Medicare Services Health care service companies are being asked to join a program that relies on technology to review certain fee-for-service Medicare ...