Bipartisan bill seeks to get rid of prior authorization
Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...
NC Senate passes health care package that would crack down on ‘surprise billing’
The bill would also ban insurance companies from using artificial intelligence as the “sole basis” for denying requests for ...
States try to rein in health insurers' claim denials, with mixed results
Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to ...
Oncology Nurse Advisor8h
Physicians Worry That AI Increases Prior Authorization Denials
Using AI-enabled tools to automatically deny more and more needed care is not the reform of prior authorization physicians and patients are calling for,” said AMA President Bruce A. Scott, MD.
Healthcare Dive8d
Optum Rx says it will eliminate 10% of prior authorizations
The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...
Healthline6d
What Is Prior Authorization in Medicare?
Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...
Hawai‘i Public Radio7d
Doctors call for reform on insurance practice they say impacts care and leads to burnout
Lawmakers are trying to reform a health insurance practice known as prior authorization, which was originally aimed at ...
Axios on MSN8d
Optum to drop prior authorization requirement for dozens of drugs
Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual ...
Fierce Healthcare8d
Optum Rx to reduce reauthorizations on 80 drugs
Optum Rx announced on Wednesday that it will eliminate up to 25% of reauthorizations, initially focusing on 80 drugs. | Optum ...
Becker's Hospital Review8d
Optum Rx to drop prior authorization for dozens of prescription drugs
Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for ...