Administrative tasks burden today's physicians more than ever before. Obtaining prior authorizations for tests and treatments from payers is one of the leading productivity zappers, an activity which ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

My colleagues and I recently tabulated how long psychiatric patients who were deemed in need of inpatient admission—overwhelmingly because of suicidal thoughts or plans—stayed in the emergency ...

And now for some good news for a healthcare industry which annually spends between $330 – $597 billion on insurance and billing related-activities1. One of the most tedious but essential of these ...

Physicians and payers are vowing to collaborate to help relieve one of doctors’ biggest headaches: obtaining prior authorizations. Six leading health industry groups, including the American Medical ...

Here’s how three ASC leaders are managing prior authorization: Note: Responses were lightly edited for style. Girard Bullaro, administrator at Wellness ASC (McKinney, Texas): As a new ASC and ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Nearly 99% of Medicare Advantage patients are required to obtain prior authorization for certain services. KFF published an Aug. 8 report breaking down key statistics on Medicare Advantage patients ...

It's no secret that burnout is a struggle across the healthcare industry, and the complex, time-consuming prior authorization process is one contributor. In fact, the U.S. Surgeon General addressed ...

A prior authorization (or preauthorization) is an approval for a prescribed procedure, health care service or medication before you receive the care. If you're enrolled in a TRICARE Prime plan, your ...

While commercial insurers often use prior authorization as a way to control costs, it does the opposite for patients undergoing total hip arthroplasty, according to a study presented at the 2025 ...