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

As the year comes to a close, the Trump administration seems to be going in two different directions when it comes to the use ...

Medicare in January will begin AI-powered pre-treatment reviews for select health services in a major policy change that's aimed at rooting out unnecessary care — but alarming providers. Why it ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

Transcure announced the introduction of a structured lineup of AI medical billing agents designed to address distinct functions across the revenue cycle management process. The announcement outlines a ...

Health care executive coaches explain why leaders aren't feeling holly-jolly this year. Plus, Shiv Rao on Abridge's next ...

Next year, Texas will be one of six states participating in a Medicare pilot program that uses artificial intelligence to review certain patient service requests to reduce fraud, waste and abuse.

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But in practice, it often means delayed appointments, stalled medication ...

The ACC joined members of the Regulatory Relief Coalition (RRC) this week to celebrate the reintroduction of the Improving Seniors' Timely Access to Care Act. (H.R. 3514/S. 1816) By tackling the ...

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Three new studies highlighted the growing burden of prior authorization on both oncologists and patients. Findings from a survey of radiation oncologists, for instance, revealed that more than 80% ...