Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...

Ohio is participating in a pilot program that will use artificial intelligence to determine approvals for around a dozen ...

"Medically necessary" is often a four-letter word for patients.

Artificial intelligence will soon play a role in whether Medicare will pay for Ohioans' pain relief therapy and skin substitute bandages. Starting Jan. 1, technology will determine whether Medicare ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting this year. Here ...

Prior authorization is no longer just an administrative hurdle for ASCs; it is a defining constraint on growth. As authorization requirements expand, policies shift and payer scrutiny intensifies, ...

Sens. Sherrod Brown (D-Ohio) and John Thune (R-S.D.) have done a great service to their constituents and to their nation by introducing the Improving Seniors’ Timely Access to Care Act. This is the ...

Many health systems and patients have struggled with prior authorization procedures. Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to ...

WASHINGTON -- Physician groups are hoping Medicare will change its mind about implementing new prior authorization requirements for two outpatient spinal procedures beginning July 1. In a final rule ...

UnitedHealth has rescinded a plan to require prior authorization for colonoscopies and other endoscopic procedures, following backlash from physician groups. UnitedHealth, which operates the biggest ...