Between one-off charges, administrative fees, and office visit copays, some are trying ...

Add Yahoo as a preferred source to see more of our stories on Google. Two pharmacy employees work behind the counter in a pharmacy, one on the phone and looking at a computer and the other writes on a ...

Blaming prior authorization for “eroding trust between payers and providers,” federal officials said Monday they are evaluating how prior approvals might be better targeted to improve healthcare ...

Major health insurers have pledged to improve the prior authorization process, which has long frustrated Americans.

For patients with heart failure, prior authorization is associated with reduced and delayed filling of prescriptions for ARNIs and SGLT2is.

ZeOmega, the industry's leading population health management organization, today announced it was listed in Gartner's 2026 Market Guide for Intelligent Prior Authorization. The report names ZeOmega as ...

Latent Health is tapping into the $200 billion market for specialty drugs with AI agents that help doctors convince insurers to more quickly approve drugs and treatments people need.

Most providers say having the majority of their payers support the Prior Authorization API requirements is extremely ...

Where healthcare leaders stand on CMS API rule progress shows payers advancing while many providers lag behind the Jan. 1, 2027 deadline.

Traditional Medicare plan holders have typically not had to wait for prior authorization before receiving medical treatment. Until now. The Centers for Medicare & Medicaid Services (CMS) recently ...

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a ...