Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care — without a human actually ...

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...

Lawmakers are trying to reform a health insurance practice known as prior authorization, which was originally aimed at ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

Silna Health, which uses AI to manage prior authorization, benefit checks and eligibility verification, today announced it has raised $27 million in total funding. The company's $22 million Series A ...

Everybody’s been denied some form of care,’ said one California mental health advocate. Now, lawmakers are advancing new ...

Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual ...

Glidian was founded with the mission of automating prior authorizations to ensure patients receive timely access to healthcare. By combining technology and services, Glidian has achieved comprehensive ...

Optum Rx announced on Wednesday that it will eliminate up to 25% of reauthorizations, initially focusing on 80 drugs. | Optum ...

Prior authorization (PA) requirements for patients undergoing primary total hip arthroplasty did not reduce costs, but did ...

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for ...