Provider groups say new reforms proposed by the Biden administration to streamline prior authorization are a good start. But much more needs to be done—including creating gold-card programs that let ...

I mean, we have patients to see, folks! No one, and I mean no one, has time for that. Well, some good news for all of you in the industry secondary to part of the Biden-Harris administration’s ongoing ...

Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York State Association of ASCs, joined Becker’s to discuss how deeper ...

Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say ...

Several provider groups pressed Medicare officials Tuesday to install several proposed reforms to prior authorization, including mandating an electronic process for plans to approve requests.

Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...

Prior authorization is a headache for patients and providers. It’s a time-consuming process: physician offices spend hours getting OKs from health plans to cover medications and specific medical ...

Providers, health plans and vendors represented by the nonprofit organization CAQH voted to set a two-day limit on prior authorization requests, the group said Feb. 4. Prior authorization comes at a ...

Ryan Haumschild, PharmD, MS, MBA, director of pharmacy at Emory Winship Cancer Institute, shares his unique perspectives as both a provider and payer on the use of prior authorizations (PAs) and "Gold ...

The healthcare industry hasn't eliminated the hassles for providers that prior authorization often entails, but they're getting closer, several speakers said here at Healthcare Information and ...

Latest software innovation automates every step of the authorization submission process, reducing time by 70% and dramatically boosting auto-approval rates Prior authorizations pose significant ...