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 ...
(NewsNation) — The nation’s major health insurers are pledging to streamline the prior authorization process, which has long frustrated Americans by delaying care and creating complications. “Patients ...
Forbes contributors publish independent expert analyses and insights. Richard Menger is a neurosurgeon and a political scientist. You have worked for your company for 15 years. You suffer from chronic ...
Payers must continue to assess their prior authorization practices to uphold the goals of clinical quality, safety, and utilization management. Like many others, I was drawn to be a doctor because I ...
A coalition of health insurance companies is vowing to make changes to the prior authorization process, after years of patients and providers’ complaints over a system they say delays care and ...
In this week’s edition of InnovationRx, we look at efforts to improve prior authorization, commercializing Bell Labs’ IP portfolio, a new billionaire from Caris Life Sciences’ IPO, a big funding round ...
A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.
For the most part, Keyanna Jones and her husband thought they knew what to expect when their daughter Chloë had eye surgery last fall. Even Chloë, who was in kindergarten, had a good understanding of ...
The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior authorization under their new Wasteful and Inappropriate Service Reduction (WISeR) ...
WASHINGTON (NEXSTAR) - Major health insurance companies, representing about 75% of covered Americans, are pledging to speed up the "prior authorization" process, Dr. Mehmet Oz announced Monday. "It ...
Orthopedics is under growing strains, ranging from AI disruptions and workforce shortages to reimbursement pressures and prior authorization delays. Below, seven industry leaders single out the most ...
Elliott Report on MSN
Two years later, this $18,926 surgery claim is still in limbo -- is there a way out?
The denial stems from an internal authorization dispute between Anthem and its partner Carelon, with a two-year claims deadline approaching. 💬 Read the comments Talk ...
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