Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.

Hawaii’s chronic shortage of health care professionals has plagued our state for decades. On the neighbor islands, we need ...

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...

Prior authorization is overused, and existing processes present significant administrative and clinical concerns. That is why the AMA is fixing prior authorization by challenging insurance companies ...

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

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 ...