The Biden administration is removing two forms providers need to fill out to get reimbursement for certain durable medical equipment in an effort to ease administrative burden. The Centers for ...

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 ...

The biggest health insurance companies in the U.S. have pledged to reform much-maligned prior authorization policies, which require doctors and hospitals to get their go-ahead before providing certain ...

Prior authorization workflows remain highly manual in today’s healthcare environment, even with advancements in machine learning and robotics process automation. But technology-enabled services may ...

In this episode, we are joined by Bevey Minor, EVP of Healthcare IT Strategy & Policy at Consensus Cloud Solutions. She discusses how most payers receive and respond to PA requests today, the main ...

Clear communication, as part of the doctor-patient relationship, is one of the most fundamental aspects of healthcare delivery. Patients need to understand the implications of procedures and ...

Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce prior authorization, with a focus on connecting patients to care more ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

The prior authorization process continues to have a "devastating" effect on patient outcomes, physician burnout and employee productivity, according to a new physician survey from the American Medical ...

UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...

"You mean, your doctor can prescribe something and then your insurance can just say I'm not covering that?" I glanced hopefully at the brochure a doctor at a study center handed me last year. They ...