Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization ...
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Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...
Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
PHILADELPHIA, PA, UNITED STATES, January 27, 2026 /EINPresswire.com/ — Ethermed, an AI-powered healthcare automation company, today announced a partnership with ...
Many states and health plans are currently implementing new legislation, so it's more important than ever for self-insured employers and benefits advisors to be on their toes – swift and significant ...
The American Medical Association (AMA) and a bipartisan group of Congressional leaders are looking to stop unfair prior authorization practices from health plans. Introduced by Rep. Suzan DelBene ...
UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...
The manual prior authorization process stands as a notorious drain on both time and money. For ASCs, this aspect of the revenue cycle curtails efficiency but also strains staff resources, jeopardizing ...
Maybe this scenario sounds familiar: You or a loved one go to pick up a prescription or to access a health care service, only to learn that it requires a prior authorization. Prior authorization — a ...
New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment. PHILADELPHIA, PA, UNITED STATES, January 27 ...