Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Humana, the second-largest provider of Medicare Advantage Plans, has pledged to streamline the often frustrating Prior ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving ...

Johns Hopkins Medicine and UnitedHealthcare are at odds over an agreement that would keep the insurer’s health coverage in ...

Prior authorization is a process health insurers use to determine whether they will cover a prescription, medical procedure, ...

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

There's a lot of hype around the potential for new technologies to fix the prior authorization process, but this rev cycle ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from ...