A new Medicare pilot program set to launch next year in Ohio and other states could change the way older Americans access certain medical treatments, drawing sharp criticism from physicians, patient ...

PLANO, Texas, Aug. 20, 2025 /PRNewswire/ -- ZeOmega®, the leading population health management organization, today announced the launch of Smart Auth Optimizer, a machine learning-powered prior ...

Recently two members of our family had to obtain prior authorization from their health insurance. One person wanted a knee replacement by an orthopedic surgeon and his request was approved; the other ...

Christine Migliaro of Northwell Health offers a reality check on prior auth automation, detailing the challenges from ROI and user adoption to the emerging threat of payer "bot blockers." ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...

The Medical Group Management Association said that as the number of Medicare Advantage beneficiaries continues to grow, “it is imperative that the MA program ensures adequate and transparent coverage ...

Join Health Affairs on September 29 for an exclusive Insider virtual event exploring prior authorization. This event is for Health Affairs Insiders only. In recent years, health insurers have faced ...

Physicians groups on January 17 hailed a new federal rule requiring health insurers to streamline and disclose more information about their prior authorization processes, saying it will improve ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

An AI-powered solution that automates prior authorizations from eligibility detection to appeals, helping health systems reduce admin burden, accelerate patient care, and prevent denials. Innovaccer ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...