Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care — without a human actually ...

Cohere Health®, the leader in clinical intelligence solutions for health plans, announces Cohere Align™, a new solution ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

Silna Health, which uses AI to manage prior authorization, benefit checks and eligibility verification, today announced it has raised $27 million in total funding. The company's $22 million Series A ...

Glidian was founded with the mission of automating prior authorizations to ensure patients receive timely access to healthcare. By combining technology and services, Glidian has achieved comprehensive ...

If you or someone you know has ever experienced the frustration of a delayed medical procedure or a denied prescription due ...

Lawmakers are trying to reform a health insurance practice known as prior authorization, which was originally aimed at ...

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...

The PBM plans to stop requiring coverage reauthorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...

The representatives from the Leukemia & Lymphoma Society and HIV+Hepatitis Policy are asking state insurance regulators to ...

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 ...

As a young boy was dealing with the physical and psychological challenges that came with his diagnosis of severe Crohn’s ...