Obtaining prior authorization for a medical test or procedure can be one of the most frustrating and time-consuming aspects of health care. Now, the Trump administration is looking to streamline the ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Cohere Health closed a Series C $90 million funding round on Wednesday, taking its total funding to date to $200 million. The Boston-based company, which was founded in 2019, aims to fix the ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving care requests as quickly as possible and reducing the administrative burdens ...

Health plans under major U.S. insurers said they have voluntarily agreed to speed up and reduce prior authorizations – a process that is often a major pain point for patients and providers for getting ...

Major US health insurers, including UnitedHealthcare, CVS Health/Aetna, Cigna, Humana, and several Blue Cross plans, will implement a standardized process for electronic prior authorization requests ...

But critics say it’s a way for insurers to increase their profits by denying care. The participating health insurers have promised to work toward a common electronic prior authorization process, which ...

WASHINGTON — Health and Human Services Secretary Robert F. Kennedy Jr. said Monday that the country’s largest health insurers have promised to take steps to streamline the often-criticized prior ...

Health plan members of AHIP and the Blue Cross and Blue Shield Association made news earlier this week when they announced a series of steps that a broad swath of health insurers will take to improve ...

AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce administrative burdens. Concerns exist about AI increasing denial rates and lacking ...