About 32% of Americans say prior authorization requirements are a major burden, more than billing confusion or finding ...

Florida Gov. Ron DeSantis has rolled out an “AI Bill of Rights” that includes restrictions on its use in processing insurance ...

For beneficiaries in six states, AI could decide on some Medicare claims for non-emergency health care services.

A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Prior authorization has been a continual source of frustration for providers, and Wednesday UnitedHealthcare, the country's largest insurer, said it will offer some relief. The payer giant will cut ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

Prior authorization has been a consistent pain point for revenue cycle leaders, but hopefully not much longer. The Centers for Medicare & Medicaid Services rule for the annual review of prior ...

It's no secret that burnout is a struggle across the healthcare industry, and the complex, time-consuming prior authorization process is one contributor. In fact, the U.S. Surgeon General addressed ...