AI clinical conversation platform Abridge is partnering with health information network Availity to launch a real-time prior ...

Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...

MINNEAPOLIS, MN, UNITED STATES, January 11, 2026 /EINPresswire.com/ -- Itiliti Health is proud to announce that South ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Julia Kagan is a financial/consumer journalist and former senior editor, personal finance, of Investopedia. Lea Uradu, J.D., is a Maryland state registered tax preparer, state-certified notary public, ...

Julia Kagan is a financial/consumer journalist and former senior editor, personal finance, of Investopedia. Eric's career includes extensive work in both public and corporate accounting with ...

The CMS program known as the Wasteful and Inappropriate Service Reduction (WISeR) model requires PA for 17 services, but Carol Howard, VP of innovation and adoption at Janus Health, says she can see ...

Prior authorization was a hot topic in 2025, from insurers pledging reforms to a Medicare pilot on the horizon. Here are five of the biggest stories on prior authorization from 2025: 1. Payers have ...

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