A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

Surgeries that are purely cosmetic generally aren't covered by Medicare, though there can be some exceptions in certain ...

MOBILE, ALA.—Not long ago, Dr. Richard Menger, a neurosurgeon, was ready to operate on a 16-year-old with complex scoliosis.

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to ...

Dr. Matt Crowson, the genAI expert at Wolters Kluwer Health, dives into the company's new survey of caregivers and execs on ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...

For Assm. Heidi Kasama (R-Las Vegas), delayed insurance approvals for health care treatment aren’t just something she hears ...

The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health ...

Hari Prasad, CEO of Yosi Health, said in an interview with MHE that AI can reduce administrative delays in prior ...