A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
AI clinical conversation platform Abridge is partnering with health information network Availity to launch a real-time prior ...
Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...
The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior authorization under their new Wasteful and Inappropriate Service Reduction (WISeR) ...
Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...
Ahead of HIMSS26, Sairohith Thummarakoti of Texas A&M University–Kingsville previews his talk on how agentic AI and low-code ...
Health insurance companies are expected to hold to their promises in 2026 to “streamline, simplify and reduce” prior ...
Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...