OAKLAND, Calif., June 23, 2025 /PRNewswire/ -- As part of its mission to help members access quality, affordable health care, Blue Shield of California announced today a series of improvements to the ...

The Ohio Department of Medicaid will implement new prior authorization requirements for certain Medicaid services beginning July 1, a change state officials say is intended to strengthen oversight of ...

Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers.

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 ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

A coalition of health insurance companies is vowing to make changes to the prior authorization process, after years of patients and providers’ complaints over a system they say delays care and ...

AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce administrative burdens. Concerns exist about AI increasing denial rates and lacking ...