The reason is not a lack of innovation. It is a matter of direction. The industry has been automating the wrong thing.

UnitedHealthcare is set to eliminate close to two-thirds of pediatric prior authorization requirements by the end of the year ...

In its announcement Tuesday, UnitedHealthcare said prior authorization is required for only 2% of its medical services, and 92 percent of submitted requests are approved in less t ...

Research indicates that prior authorizations for drugs take physician practices and pharmacies 15 to 64 minutes to complete ...

The proposed rule could amplify the meaningful progress made by healthcare technology innovators and provide a more ...

UnitedHealth Group plans to stop requiring doctors to get approvals for an array of pediatric procedures, tests and services, ...

One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger, M.D., ...

The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...

Surescripts®, the nation’s leading health intelligence network, released new data illustrating significant impact of solutions, including Prior Authorization Automation and Real-Time Prescription ...

A look at the rise of prior authorization certified specialists (PACS)—and their value in improving patient access and outcomes. The healthcare industry constantly grapples with the challenge of ...

Insurance red tape is delaying care, driving up costs and consuming hours of physicians' time — and patients are paying the price.

UnitedHealthcare announced on May 29 that it would remove roughly two-thirds of its prior authorization requirements for ...