A new study from researchers at CVS Health finds that an automated prior authorization process may drive lower cost, more efficient cancer care. The research, released for the American Society of ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and Empowered-Home, today announced a partnership to provide automated prior authorization to ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

In a notable example, within six months of deploying the Recondo solution, Bon Secours Mercy Health improved authorization approval days out from one to two days to ten days prior to service, and ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

This year, prior authorization will become less of a pain point as more prescribers adopt automated prior authorization technologies, predicts Dr. Andrew Mellin, vice president and chief medical ...

In this episode we are joined by Paul Shorrosh, Founder and CEO at AccuReg to discuss the challenges and causes of authorization denials, and real-world strategies to automate determination, ...

Healthcare providers are rapidly adopting automated, standardized prior authorization workflows to meet new regulatory demands and combat delays, denials, and staff burnout. Industry strategies now ...

Utilization management (UM) sits at the center of one of healthcare’s most persistent tensions: ensuring appropriate, evidence‑based care without slowing access to it. In practice, that tension has ...

A brief research report reviewed the prior authorization rules for Aetna, Humana, and UnitedHealthcare and found little ...