The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers ...

New Medicaid prior-authorization rules have advocates in Connecticut concerned about patients losing access to their ...

Have you ever come across something years old that is so dead on about a topic important to you that you can’t believe you didn’t know it existed? I felt that way when I stumbled across an excellent ...