In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

Plenful is an AI-powered startup offering a 'behind-the-scenes fix' for healthcare providers struggling under the weight of outdated, burdensome administrative processes.

The IOTA Model is a complex mandatory payment model that purports to test whether hospital performance-based incentive payments will increase access to kidney transplants; however, these payments are ...

Providers can go on our HealthPas portal to obtain the prior authorization form. They can submit this along with required documentation by faxing to the number listed on the paper form or if they have ...

Non-Title IV funds, such as St. Catherine grant funds may be used by the Office of Student Accounts to pay prior term and prior academic charges. To complete the Title IV Federal Financial Aid Student ...

Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. | The Improving Seniors' Timely ...

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

Explore how prior authorization affects insurance costs and patient care, with insights on its pros, cons, and supporting data.

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.