To control costs, nearly all health insurers use a system called prior authorization, which requires patients or their ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining ...

A CMS pilot program that would add prior authorization for some traditional fee-for-service Medicare services has come under increased scrutiny by ...

Ohio is one of six states what will be testing a program using artificial intelligence to weed out inappropriate Medicare ...

The federal government will test a new model for the often maligned prior authorization process in Washington, other states ...

Health insurance companies and doctors often don’t agree on what is an appropriate treatment. If you are turned down, here ...

VoiceCare AI to Present at Becker’s Health IT + Revenue Cycle Conference 2025 Hospitals and health systems are under increasing pressure to improve ...

Traditionally, AI has been used as a chatbot to handle the first point of contact with a customer. However, this not only is a misapplication of this technology, but it is the opposite of what ...

The wait to see the doctor in Ohio already feels like torture. The childish example Trump is setting. Toxins built up in my ...

Spain reportedly prohibited the transit of US military aircraft and vessels carrying arms destined for Israel through two ...

Stacy Knox, PharmD, BCPS, BCACP, DPLA, discusses how centralized pharmacy teams and electronic health record integration streamline prior authorizations, enhance provider efficiency, and offer ...

This is the second article in a four-part series examining America’s preventable amputation crisis. Read part 1 HERE. “We’re ...