House Bill 423 was a chance to reform prior authorization that defers patient care and remains the top problem impacting ...

As an emergency medicine physician at ECU Health, I witness firsthand the devastating consequences of unnecessary prior ...

Opinion: Without accountability in Tricare management, the failed contract transition will continue to unravel benefits, the ...

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For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...

Care delays caused by prior authorizations lead a significant share of patients to abandon care altogether, according to a new academic article published in The American Journal of Managed Care. More ...

“A recent CMS report showed that Black, Native American or Alaska Native, and Hispanic MA enrollees scored below the national average on 44%, 37%, and 27% of clinical care measures, respectively, ...

Medicare Advantage plans are pretty popular with both lawmakers and ordinary Americans — they now enroll about 31 million people, representing just over half of everyone in Medicare, by KFF’s count.

This collaboration will provide RamSoft's over 750 global healthcare sites access to Alpha Nodus's AI-powered tools, including automated document processing, cost estimates, prior authorizations ...

Several states are considering regulating how insurers can use AI in prior authorization. In January, a California law took effect that prohibits payers from making coverage decisions based solely on ...

This collaboration will provide RamSoft's over 750 global healthcare sites access to Alpha Nodus's AI-powered tools, including automated document processing, cost estimates, prior authorizations, and ...

Our state’s patient advocates and health care providers are committed to ensuring all North Dakotans have access to high-quality, medically necessary health care when they need it most.