Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...
A new study has found that prior authorizations for anti–vascular endothelial growth factor treatment led to a delay in patient care for most patients. Anti-VEGF treatments have been used in patients ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.
California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
For beneficiaries in six states, AI could decide on some Medicare claims for non-emergency health care services.
Even before the COVID-19 pandemic, the prior authorization process had become the bane of doctors and patients. Physicians say that health insurers’ authorization requirements, which can delay the use ...
Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...