Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

The Centers for Medicare & Medicaid Services recently announced a pilot program that will use artificial intelligence and machine learning. This program will be used, among other things, to oversee ...

Please provide your email address to receive an email when new articles are posted on . Inefficiencies in prior authorization systems erode patient trust and can seriously impact care. Reform could ...

About 92 percent of physicians report prior authorization has a negative effect on patient clinical outcomes, according to a new survey from the American Medical Association. For the survey, the AMA ...

The prior authorization process continues to have a "devastating" effect on patient outcomes, physician burnout and employee productivity, according to a new physician survey from the American Medical ...

While there's a lot of buzz around prior authorization, it applies to fewer than 2% of claims. Prior authorization ensures care is both safe and aligned with the most up-to-date clinical guidelines.

SAN DIEGO, March 10, 2025 /PRNewswire/ -- Prior authorization is commonly used with commercial insurance companies as a cost-controlling policy. However, a study presented at the 2025 Annual Meeting ...

Even if you’ve never heard the term “prior authorization,” there’s a good chance you’ve been affected by it. Prior authorization—“prior auth” for short—refers to a practice used by health insurance ...