Christine Migliaro of Northwell Health offers a reality check on prior auth automation, detailing the challenges from ROI and user adoption to the emerging threat of payer "bot blockers." While ...

An AI-powered solution that automates prior authorizations from eligibility detection to appeals, helping health systems reduce admin burden, accelerate patient care, and prevent denials. The AMA’s ...

New solution delivers real-time, unlimited eligibility verification and helps practices prepare for CMS’s 2026 mandate. SPRY Therapeutics Inc. today announced the launch of the SPRY Prior ...

The new Medicare initiative would apply to claims for procedures such as steroid injections for pain management, electrical nerve stimulator implants, skin and tissue substitutes, devices for ...

Mark Lewis, MD, saw the pain in his patient's body. The man's gastrointestinal tumor had metastasized to his bones. Even breathing had become agonizing. It was a Friday afternoon. Lewis could see his ...

Businesses today can't afford to be slowed down by outdated systems, and Monument Systems is the fastest way for health plans to adopt AI.” - Ken Stockman, CEOTUCSON, AZ, UNITED STATES, September 18, ...

Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...

SAN DIEGO -- Prior authorization (PA) requirements for patients undergoing primary total hip arthroplasty did not reduce ...

The Trump administration has promised to reduce the burden of prior authorizations, but experts say there is no easy solution. Prior authorizations, where insurers must approve certain medical ...

The American Medical Association's House of Delegates passed an Endocrine Society resolution that aims to improve access to weight-loss medications by reducing the burden of prior authorization.