Health Care Service Corp., a health plan operator for 18 million members across Illinois, Montana, New Mexico, Oklahoma and Texas, is integrating artificial intelligence and augmented intelligence to ...

Please provide your email address to receive an email when new articles are posted on . The ACP has commended CMS’ proposal to require payers to streamline the prior authorization process to reduce ...

Prior authorization will become less of a hassle for physicians in Blue Cross Blue Shield of Michigan’s network, BCBSM officials hope, as they roll out an effort to relax about 20% of prior ...

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 ...

The Centers for Medicare and Medicaid Services finalized the CMS Interoperability and Prior Authorization Rule on Wednesday. CMS said the rule will improve the prior authorization process and save ...

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...

Geisinger Health Plan and software company Cohere Health are teaming up to simplify the prior authorization process and reduce provider burden. Through the deal, Danville, Pennsylvania-based Geisinger ...

Obtaining prior authorization for a medical test or procedure can be one of the most frustrating and time-consuming aspects of health care. Now, the Trump administration is looking to streamline the ...

The prior authorization process for patients with cancer demonstrates fewer days until submission and lower denial rates for Asian patients relative to White patients. Objective: Prior authorization ...