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 ...

Jalen Brunson enters the Top 5 on the heels of his NBA Cup performance, but the 3 top spots remain unchanged. Shaun Powell In a total team effort, the Knicks topped the Spurs in the Championship to ...

Health systems have to take responsibility for the broken prior authorization process and stop deferring action to payers, according to Jeff Balser, CEO of Vanderbilt University Medical Center. “A lot ...

Aetna has announced it is integrating pharmacy prescriptions and medical procedures into a single clinical review to streamline the prior authorization process. The prior authorization bundles are for ...

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

A year ago, the fatal shooting of a health insurance executive on a Manhattan sidewalk unleashed many Americans’ pent-up frustration with insurers’ delays and denials of care. UnitedHealthcare CEO ...

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ...

The NFL MVP race usually isn't this wide-open 13 weeks into a season. After years of cycling through Patrick Mahomes, Lamar Jackson and Josh Allen, the field has opened up considerably. Lamar got hurt ...

The race for NFL MVP has seemingly been whittled down to three quarterbacks, with potential first-time winners Drake Maye and Matthew Stafford battling last year's winner, Josh Allen, for the award.

The Centers for Medicare and Medicaid Services has selected the six technology companies that will administer artificial intelligence-powered prior authorization programs for Medicare, STAT has ...

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Once again, Los Angeles Dodgers two-way star Shohei Ohtani has been named his league's Most Valuable Player. On Thursday night, Ohtani won National League MVP, beating out fellow finalists Kyle ...