Develop Health, an AI-powered eligibility and prior authorization automation platform, today announced its integration with athenaOne, bringing its end-to-end access automation directly into ...

A survey of health plans finds prior authorization processes need improvement to become fully electronic. While the healthcare industry is moving towards automation as a whole, prior authorization (PA ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

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 ...

Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment accuracy solutions for advanced diagnostics, have partnered ...

In a future state, the automation of prior authorization decisions would be a natural element of high quality, value-based care. After all, the goal of prior authorization is to ensure that a member’s ...

Prior authorizations are a critical part of the revenue cycle as they impact both reimbursement and patient access to care, and automation may help simplify the process. Many prior authorization ...

The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...

Please provide your email address to receive an email when new articles are posted on . An electronic health record tool has demonstrated the potential to automate the selection of biosimilars.

JACKSONVILLE, Fla. & NASHVILLE, Tenn.--(BUSINESS WIRE)--Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment ...