Last year, HHS and dozens of health insurers announced an industry pledge to streamline and reduce prior ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...

Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers.

Jaclyn Mayo has multiple sclerosis, an autoimmune disease that damages the nervous system and can mess with coordination and balance. To get steadier on her feet, Mayo had been trying to lose weight: ...

Medicare is testing the use of artificial intelligence to preapprove several healthcare services.

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving care requests as quickly as possible and reducing the administrative burdens ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer approval, the nation's largest insurer said. Prior authorization is currently ...