St. Peter’s Healthcare System prepared its staff and processes for the new Medicare prior authorization pilot starting January ...

The Centers for Medicare and Medicaid Services (“CMS”) recently announced the first six participating states in the Wasteful and Inappropriate ...

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for ...

Barclays 23rd Annual Global Technology Conference December 10, 2025 6:40 PM ESTCompany ParticipantsMatthew Hawkins - CEO ...

The Health Data, Technology, and Interoperability (HTI-4) Final Rule aims to strengthen the nation’s health IT ecosystem by ...

The program will let AI review seniors’ requests for certain medical care — and will reward companies when they deny it.

The CVS-owned payer is working to bundle multiple prior authorizations for certain conditions into one single review.

Providers are betting on artificial intelligence to ease the pain point of prior authorization, a new survey shows. Cohere Health, which provides clinical intelligence to insurers and risk-bearing ...

An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior ...

In June, Philip Boyce, senior vice president and chief revenue officer for Baptist Health, was among four panelists speaking at the HFMA Annual Conference about “Strategies to Reduce Payer-Provider ...

Starting in January, Medicare will test out an artificial intelligence (AI) pilot program to decide whether patients get certain procedures covered or not. The Centers for Medicare & Medicaid Services ...