Prior authorization for advanced imaging requests was expedited when a health system used a clinical decision support tool in partnership with a commercial payer, according to a study published in the ...

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

One increasingly subtle but important theme in US healthcare is the shift to care allocated by payers rather than providers. Historically, decisions on what care to provide patients were made by ...

The rule aims to streamline the administrative process by requiring certain payers to implement electronic prior authorization. Medical associations and payer groups are reacting approvingly to CMS' ...

A partnership between Blue Shield of California and Salesforce aims to dilute some prior authorization struggles for providers. Blue Shield of California is teaming up with Salesforce to ease the ...

RadNet is a national radiology provider with 344 imaging centers employing 8,000 people and 500 radiologists. It has regional networks in New Jersey, New York, Delaware, Maryland, California and ...

As part of its ongoing mission to modernize and improve the interoperability of the health care system, on January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS ...

One of the most inefficient and costly processes for providers and payers is the prior authorization procedure, but help is one way to ease the pain. For those not in the know, prior authorization is ...

It's no secret that burnout is a struggle across the healthcare industry, and the complex, time-consuming prior authorization process is one contributor. In fact, the U.S. Surgeon General addressed ...

WASHINGTON, D.C. / ACCESS Newswire / December 15, 2025 / The healthcare payer information technology (IT) sector continues to evolve rapidly, and 2026 is positioned to be a pivotal execution year for ...