BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company, today announced a new solution that fully automates prior authorization at the point of care, ...
Tech tackles delays: AI-based referral systems and automated prior authorization tools are designed to cut scheduling backlogs and speed up treatment approvals. Teledermatology boost: Virtual visits ...
Last year, HHS and dozens of health insurers announced an industry pledge to streamline and reduce prior ...
The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...
The Medicaid and CHIP Payment and Access Commission (MACPAC) released its June 2026 Report to Congress on Monday, offering ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment. PHILADELPHIA, PA, UNITED STATES, January 27 ...
BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...
Allegheny Health Network has implemented touchless prior authorization using AI automation technology in a partnership with Humata Health, a physician-led company backed by investors such as Optum ...
Columbus, Ohio-based PriorAuthNow, maker of an electronic prior authorization platform, has closed a $10.5 million Series A funding round. The investment was led by Atlanta-based BIP Capital, with ...
The Well News on MSNOpinion
Prior authorization reform: Building on progress to better serve patients
Over years of working on prior authorization, both at the state level and alongside colleagues across the country, I've seen ...
Utilization management (UM) sits at the center of one of healthcare’s most persistent tensions: ensuring appropriate, evidence‑based care without slowing access to it. In practice, that tension has ...
A survey of health plans finds prior authorization processes need improvement to become fully electronic. While the healthcare industry is moving towards automation as a whole, prior authorization (PA ...
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