Sanjay Doddamani, MD, MBA, a former senior advisor to the Center for Medicare and Medicaid Innovation, and internist and ...

Provider organizations have answered the Department of Health and Human Services’ (HHS’) call for deregulation suggestions with their policy change wish lists tackling topics from prior authorizati | ...

HHS has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before ...

A bill intent on reforming the pre-authorization process in Delaware passed both chambers and is now under consideration from Gov. Meyer.

Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...

The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health ...

In a recent joint statement, HHS Secretary Robert F. Kennedy, Jr., and CMS Administrator Mehmet Oz, MD, announced health ...

Hari Prasad, CEO of Yosi Health, said in an interview with MHE that AI can reduce administrative delays in prior ...

In this part three interview of a video series, Hari Prasad, CEO of Yosi Health, told Managed Healthcare Executive editors that cutting administrative burdens through digitized prior authorizations ...

MOBILE, ALA.—Not long ago, Dr. Richard Menger, a neurosurgeon, was ready to operate on a 16-year-old with complex scoliosis.

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...