Before selecting a vendor to aid in prior authorization management, health systems should conduct a thorough "needs assesment ...

PORT OF GREATER BATON ROUGE, La., April 15, 2025 /CNW/ -- AtmosClear BR, LLC ("AtmosClear"), a portfolio company of Fidelis, announced that it has signed a contract with Microsoft for 6.75 million ...

Most physicians surveyed expressed concern that health insurance companies’ use of artificial intelligence (AI) is increasing prior authorization denials. 1 The survey, conducted by the American ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements in Medicare, Medicare Advantage and Part D prescription drug plans. Five things to ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

President Trump’s campaign to exact revenge against his perceived foes has turned out to be far more expansive, creative, efficient — and for now, less reliant on the justice system — than ...

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Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

Sydnie M. Haines, of Blackwood, NJ, was heading east in the westbound lanes of Route 17 in Chester, NY, when she crashed head-on into a 2014 Honda Odyssey around 1:50 a.m. Wednesday, March 5, New York ...