The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...

The NDAA notably deviates partly from President Donald Trump’s national security strategy, which seeks some distance between ...

The prior authorization bundles are for condition-specific procedures, Aetna said. Previously, providers had to submit two ...

The National Defense Authorization Act leaves out a number of energy- and environment-focused provisions. Congressional leaders unveiled a compromise defense policy bill Sunday evening that maintains ...

Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones. Prior authorization is a process wherein a doctor must get approval ...

Electronic health record providers are starting work that could transform how nursing homes grapple with prior authorization requests and length of stay determinations.

C3.ai ($AI) has achieved a major milestone with its newly granted FedRAMP authorization. This will allow the company to deliver its AI software ...

Medicare beneficiaries in ten states will soon be participating in a new prior authorization program. The Centers for Medicare & Medicaid Services (CMS) is implementing a five-year demonstration ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Health insurers are beginning to adopt AI to support prior authorization decisions. But is this a good thing? Experts weighed in during a panel discussion held by KFF on Thursday. One panelist said ...

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