Some local school districts have hit the eLearning limit, while others have not. Over the last few months, schools around the state have been forced to delay, close, or call an eLearning day far more ...

Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. The company unveiled two new platforms aimed at streamlining the decision process: Digital Auth ...

Educators in the Los Angeles Unified School District overwhelmingly voted to authorize a strike after months of stalled contract talks, union leaders announced last week. Details: KTLA.com Video: ...

A new study shows that close to 53 million prior authorization requests were sent to Medicare Advantage (MA) plans in 2024, increasing from 2023 and far above the number required in traditional ...

Kansas Insurance Commissioner Vicki Schmidt stated the prior authorization process in health care is "definitely broken." Schmidt indicated to lawmakers that any legislative efforts to reform the ...

Health systems have to take responsibility for the broken prior authorization process and stop deferring action to payers, according to Jeff Balser, CEO of Vanderbilt University Medical Center. “A lot ...

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ...

The critical pre-authentication RCE flaw is added to CISA’s KEV catalog, with a warning for federal civilian agencies to apply Oracle’s October patch by December 12. The Cybersecurity and ...

Leah Kovitch was pulling invasive plants in the meadow near her home one weekend in late April when a tick latched onto her leg. She did not notice the tiny bug until Monday, when her calf muscle ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...