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 ...

Ohio is participating in a pilot program that will use artificial intelligence to determine approvals for around a dozen ...

Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages. Starting Jan. 1, technology will determine whether Medicare ...

"Medically necessary" is often a four-letter word for patients.

The healthcare industry is on the brink of a transformative shift in the way prior authorizations are managed. Traditionally, prior authorizations have relied heavily on an attestation model, where ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting this year. Here ...

Several health insurers are extending prior authorizations for elective services that have been canceled or deferred because of COVID-19. Blue Cross and Blue Shield of Minnesota shared with Becker’s ...

Prior authorization is no longer just an administrative hurdle for ASCs; it is a defining constraint on growth. As authorization requirements expand, policies shift and payer scrutiny intensifies, ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...