prior authorization
publication date
Revenue Cycle
Prior Authorization Delays Are Driving Patients Away From Providers
Almost 80% of physicians surveyed by the AMA say patients are skipping care because of delays in prior authorizations.
Revenue Cycle
HL Shorts: Rev Cycle Leader on Tackling Eligibility and Authorization
Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Payer
Infographic: 5 Prior Authorization Updates For Payers
Many health systems and patients have struggled with prior authorization procedures.
CFO
Yay for MA? System CFOs Bittersweet on New CMS Rules
Medicare Advantage rate cuts are coming next year, but prior-auth provisions slated for 2026 could tide palmier payer partnerships.
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Payer
Infographic: Nine States Cover Wegovy Through Medicaid
Some states are hesitant to cover the popular drugs.
Revenue Cycle
Private Payers Retain Profits by Denying, Delaying Claims: What Rev Cycle Leaders Can Do About It
While health systems are doing their best to maintain financial stability, payers are doing their best to protect their profitability.
Payer
Feds Pressuring Payers to Increase Assistance Efforts After Change Attack
U.S. officials are putting the pressure on payers to take more targeted action.
Technology
Timeline of the Change Healthcare Attack
The Change Healthcare ransomware attack has affected health systems nation-wide for almost a month now.
Payer
The Change Healthcare Attack: What Payers Need To Know
The attack is rippling through the healthcare industry and affecting everyone, including payers.
Payer
Gold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.
Payer
States target health insurers’ ‘prior authorization’ red tape
A spokesperson for Cigna says the insurer uses prior authorizations for popular drugs such as Mounjaro to help ensure that...