Annual report details prior authorization automation work with Fairview Health Services, Cleveland Clinic and Optum Rx ...

Surescripts®, the nation’s leading health intelligence network, today released its Annual Impact Report 2025, highlighting record advancements in health data interoperability, enhanced efficiency for ...

This article highlights challenges in prior authorization and offers practical, experience-based strategies to streamline workflows, reduce delays, and improve patient access to necessary treatments.

Semaglutide (GLP-1) drugs like Ozempic are designed to treat type 2 diabetes, but are widely known for their effect on weight loss. Credit: Shahrzad Rasekh / CT Mirror Groups representing low-income ...

Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. The company unveiled two new platforms aimed at streamlining the decision process: Digital Auth ...

Prior Authorization for Traditional Medicare Patients Has Started in 6 States The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain ...

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services for several years as part of its broader effort to curb ...

Optum is introducing AI-powered prior authorization. Optum said the intelligent automation solution delivers timely decisions for providers to reduce delays, speed approvals and reduce repetitive work ...

Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...

Patients view prior authorization as the biggest burden in navigating the healthcare system, according to a new KFF poll. Researchers at KFF surveyed 1,426 adults between Jan. 13-20 and found that 32% ...