A new study from researchers at CVS Health finds that an automated prior authorization process may drive lower cost, more efficient cancer care. The research, released for the American Society of ...

Objective: To evaluate the effectiveness of an automated prior authorization (PA) system (SmartPA) in reducing use of and expenditures for cyclooxygenase-2 (COX-2) inhibitors. Study Design: Before and ...

KANSAS CITY, Mo., Nov. 3, 2010 /PRNewswire/ -- Argus Health Systems, Inc., a leading transparent pharmacy benefits administrator, today announced the release of its Automated Prior Authorization ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and Empowered-Home, today announced a partnership to provide automated prior authorization to ...

In a notable example, within six months of deploying the Recondo solution, Bon Secours Mercy Health improved authorization approval days out from one to two days to ten days prior to service, and ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

New features include patient responsibility estimator and integrated, automated prior authorization capabilities XIFIN expands its portfolio of physician and patient engagement solutions with ...

This year, prior authorization will become less of a pain point as more prescribers adopt automated prior authorization technologies, predicts Dr. Andrew Mellin, vice president and chief medical ...

Danielle Pieloch and Kumar Aditya will offer more detail during the HIMSS23 session "Automating and Optimizing Prior Authorizations the Right Way." It is scheduled for Tuesday, April 18 at 3 p.m. – 4 ...

Conclusion Manual prior authorization places significant financial and administrative burdens on providers and health plans. However, redesigning the workflow and leveraging automation to move the ...

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 ...

In 2026, the Centers for Medicare and Medicaid Services (CMS) will expand prior authorization in the fee-for-service program through the Wasteful and Inappropriate Service Reduction (WISeR) Model.