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

The model will leverage artificial intelligence (AI) to expedite prior authorization processes for certain items and services ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

AI clinical conversation platform Abridge is partnering with health information network Availity to launch a real-time prior ...

Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

UnitedHealthcare, facing a storm of backlash from docs over its decision to implement a policy that would require prior authorization for some surveillance and diagnostic colonoscopies, is pushing ...

On the heels of OpenAI’s ChatGPT Health reveal, Anthropic announced on Sunday that it’s introducing Claude for Healthcare, a ...

In an effort to soften the payer/provider relationship, many large health insurers are rolling back on prior authorizations. UnitedHealthcare (UHC) is the latest to cut back on its prior authorization ...

There are 5 steps to prior authorization when looking at it from a best practice standpoint. These steps include demographics, eligibility, determination, submission, and status retrieval. Tune into ...

Physicians groups on January 17 hailed a new federal rule requiring health insurers to streamline and disclose more information about their prior authorization processes, saying it will improve ...

As tens of millions of Americans struggle with gastrointestinal diseases such as colorectal cancer and ulcerative colitis, health insurance company UnitedHealthcare (UHC) is making life more ...