For beneficiaries in six states, AI could decide on some Medicare claims for non-emergency health care services.
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 ...
Prior authorization is a major pain point for physicians—but emerging tech could help, according to new data. In a case study of new prior authorization technology from Holon Solutions, a primary care ...
California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.
Major health insurers in the U.S. pledged Monday to overhaul the prior authorization process. Prior authorization means insurers require approval before they’ll cover medical care, a prescription or a ...
Fighting rare bile duct cancer, Keaton Herzer used social media to overturn repeated insurance denials for lifesaving treatment and a liver transplant.
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