Humana has announced several steps it will take to ease prior authorization requirements. The insurer said Tuesday that by the start of next year, it will have fully eliminated about a third of prior ...

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger, M.D., ...

Prior authorization has emerged as a flash point between payers and providers as the former tries to manage what they believe is waste in the system while the latter accuses payers of trying to deny ...

Artificial intelligence (AI) in healthcare has moved from interesting idea to potential game-changer in just a few short years. AI’s clinical applicability, for example, has been explored at length ...

Health Care Service Corporation is using augmented intelligence to accelerate prior authorization – up to 1,400 times faster – and an AI tool that references historical authorizations and claims to ...