The payer says its initiatives will stabilize the financial health of independent rural hospitals and improve patient access ...

Your insurer is betting you won’t appeal — but research shows 1 million denials could have been overturned if patients pushed ...

The Centers for Medicare & Medicaid Services (CMS) has proposed extending electronic prior authorization to prescription drugs, setting 24-hour deadlines for urgent cases and 72 hours for standard ...

UnitedHealthcare pares back prior authorizations and speeds payments for 1,500 rural hospitals, expanding nationwide by fall 2024.

Prior authorization is no longer just a checkpoint in orthopedic care, It’s becoming a defining force in how, when and even whether patients receive treatment. As payers expand algorithm-driven ...

UnitedHealth Group announced plans to expand its Rural Payment Acceleration Pilot to reduce Medicare Advantage payment ...

PrescriberPoint, the AI-powered point-of-care platform, today announced its agentic AI prior authorization (PA) solution with the results of a clinical validation study. The healthcare provider ...

With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...

Care begins moving forward as soon as the visit ends. But often that is only the beginning of the story. Days or weeks later, ...

UnitedHealthcare, the nation's largest health insurer, will exempt rural physicians and hospitals from “prior authorization ...

UnitedHealthcare will exempt some rural medical providers from most medical prior authorization requirements as part of a push to lower costs and improve care in rural areas. The health insurance ...