Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...
Participating health plans have signaled that they're implementing common, transparent submissions for electronic prior authorization. This commitment includes the development of standardized data and ...
Develop Health, a benefits verification and prior authorization platform, has raised $14.3 million in Series A funding, the company announced on Wednesday. The San Francisco-based company’s platform ...
The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...
"Medically necessary" is often a four-letter word for patients.
Allegheny Health Network has implemented touchless prior authorization using AI automation technology in a partnership with Humata Health, a physician-led company backed by investors such as Optum ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.
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