A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...

Stock fell 7% Tuesday as Eden Prairie-based health care giant’s new earnings projections are short of expectations.

UnitedHealth's newly returned CEO, Stephen Hemsley, will likely face investor scrutiny over the largest U.S. health insurance ...

Humana has released details about additional, upcoming organizational improvements to encourage a faster prior authorization ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...

Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to ...

As of today, Optum Rx is nixing reauthorization requirements for more than 60 additional medications. | The PBM giant's list of drugs includes products for behavioral health, HIV, dry eye disease ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting next year.

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 ...

The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, including Oklahoma ...