Subject to conditions and exceptions, General License (GL) 46 authorizes—without any time limitation—all transactions that are ordinarily incident ...
Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...
The pilot, launched in January 2026 in 6 states, could reduce wasteful spending, but increases provider paperwork and risks ...
As fun as it may be to pilot your drone for personal or professional use, you should be aware of the key areas that flying a ...
Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior ...
Rheumatologists share how they are using AI platforms for clinical documentation, reducing EHR time, streamlining workflows, ...
Blue Shield is designing a centralized, machine-readable policy repository to enhance policy digitization and automation, speeding up prior authorization decisions. The organization has partnered with ...
As with environmental law and consumer protections, the Trump administration’s enthusiasm for deregulation has undone long-sought rules to improve care for the aged.
"Medically necessary" is often a four-letter word for patients.
Depending on who you ask, prior authorization is a primary driver of administrative burden and delayed medical care or an essential tool for enhancing safety, improving health outcomes, and reducing ...
Effective Jan. 1, the Trump administration will, for the first time in the 60-year history of Medicare, implement a pilot project in six states (with Ohio being one of them) that will use private, for ...
-- Aetna provided an update on its efforts to streamline the healthcare experience on Thursday, one year to the day after the fatal shooting of UnitedHealth’s top insurance executive sparked a wave of ...
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