Optum is introducing AI-powered prior authorization. Optum said the intelligent automation solution delivers timely decisions for providers to reduce delays, speed approvals and reduce repetitive work ...

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services for several years as part of its broader effort to curb ...

Educators in the Los Angeles Unified School District overwhelmingly voted to authorize a strike after months of stalled contract talks, union leaders announced last week. Details: KTLA.com Video: ...

A new study shows that close to 53 million prior authorization requests were sent to Medicare Advantage (MA) plans in 2024, increasing from 2023 and far above the number required in traditional ...

For various protocols, Microsoft has already removed Basic Authentication in Exchange Online. The timeline for SMTP is being postponed. So far, Microsoft has disabled simple username-password login ...

Kansas Insurance Commissioner Vicki Schmidt stated the prior authorization process in health care is "definitely broken." Schmidt indicated to lawmakers that any legislative efforts to reform the ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many routine and essential" health care services, Gov. Maura Healey ...

A six-state pilot program will target 'wasteful care' under Medicare Medicare programs in six states will face prior authorizations under a new pilot program. Traditional Medicare in six states will ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial intelligence tools. The Wasteful and Inappropriate Service Reduction (WISeR) model is ...