Long-running efforts to limit health plans' ability to deny or delay physician-ordered care are on hold again, despite ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. | Optum is rolling out new AI-powered tools that are aimed to reduce delays associated with ...

The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

Kansas Insurance Commissioner Vicki Schmidt stated the prior authorization process in health care is "definitely broken." Schmidt indicated to lawmakers that any legislative efforts to reform the ...

Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York ...

CHICAGO, Jan. 15, 2026 (GLOBE NEWSWIRE) -- R1 (“R1” or the “Company”), the leader in healthcare revenue management, today announced the launch of R1 Prior Authorization, a comprehensive solution ...

"Medically necessary" is often a four-letter word for patients.

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura ...

The CMS Final Rule signals a future in which prior authorization isn’t just faster but fairer. AI has the potential to accelerate decisions, lower administrative costs and support equitable access to ...

Rheumatologists share how they are using AI platforms for clinical documentation, reducing EHR time, streamlining workflows, ...