Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials ...

The transition to a new Tricare management contractor has been anything but smooth for many health care providers and patients in the West Region.

Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, ...

Oz gave changes to health insurance companies and health plan prior authorization programs, or efforts by plans to make sure proposed treatments are safe, effective, affordable and covered by the ...

The sweeping legislation also contains several sections that tackle prior authorization ... ‘Put your name on these forms and attest in public to whether you’re complying with this or not.

The implementation of AI has become widespread in healthcare, but physicians are concerned that unregulated AI use is increasing prior authorization denials, according to a May 7 report by the ...

Health insurers’ use of AI is bringing a new level of concern to the burdensome payer cost-control practice known as prior authorization. In a recently released AMA survey (PDF), 61% of physicians ...

Flat prior (not usually recommended); Super-vague but proper prior ... Many times when people recommend default priors, they are restricting to some version of conjugacy for closed forms or for Gibbs; ...

Charleston, S.C.-based MUSC Health has deployed AI agents from healthcare software company Notable to execute 40% of prior authorizations without human involvement. What often took about 30 ...

UnitedHealthcare has notified providers that it will eliminate prior authorizations for home health services managed by Optum Home & Community (formerly NaviHealth). The change, which applies to ...