These health care hurdles can stand in the way of getting treatment your doctor says you need. Here's what to know about how ...

Researcher found 80% of claim denials were ultimately reversed, reinforcing long-standing concerns raised by AAOS and patient advocates ...

Prior authorization requires doctors to get approval from a patient’s insurance company before they’ll cover a procedure, prescription or a service such as an imaging exam. Companies use the process ...

Driving orthopedic outcomes sustainability through AI-enabled prior authorizations and physician-owned surgery centers improves care and financial control.

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

Prior authorizations for adult degenerative spine disease patients led to delays in care without improving costs, according to a study from the OrthoCarolina Research Institute team. The study led by ...

Zahra Mahmoudjafari explains how cell and gene therapy programs succeed with strong infrastructure, pharmacy leadership, ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a recent American Medical Association survey found. The survey was conducted in December and asked ...

A new survey from the American Medical Association shows the burden of seeking prior authorization. Around 1,000 physicians responded to the survey in December 2016. Here are six things to know: 1.