There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Follow live coverage from NBC News as President Donald Trump launches his Board of Peace at Davos and Denmark, Greenland ...

Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.

Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...

Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover ...

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

ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...

The executives at several leading health insurers are set for a gauntlet on Capitol Hill today, speaking in back-to-back hearings about the affordability of healthcare. | The executives at several ...

Anthropic announced healthcare AI tools connecting to insurance databases and patient records, intensifying competition with ...

Under new state regulations, doctors will no longer need to seek pre-approval from a patient’s health insurer before ...

Inclusive benefit design builds trust, drives preventive utilization and replaces reactive cost-shifting with proactive value ...

Dr. Jennifer Caputo-Seidler shares insights from her inaugural SHM Hill Day 2025 visit, which brought hospitalists together in Washington, D.C. to advocate for important policy reforms affecting ...