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

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

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

Health plan executives expect AI to automate prior authorizations, improving turnaround times amid CMS regulatory changes, ...

Traditional Medicare in six states will soon feel more like privatized Medicare Advantage, using prior authorizations to determine what care can be covered for older adults.

Governor Healey initiates reforms to streamline Massachusetts' health care system, focusing on affordability and ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.

Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...

Governor Maura Healey announced a significant reform to health insurance prior authorization rules aimed at streamlining patient access to health care services, amid ongoing federal funding cuts.

The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger, M.D., ...