ARLINGTON, Va., May 20, 2026--(BUSINESS WIRE)--Surescripts®, the nation's leading health intelligence network, released new data illustrating significant impact of solutions, including Prior ...

Prior authorization has long been one of the most friction-heavy processes in healthcare. For health plans and pharmacy ...

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

Acquisition Removes Friction from Complex Prior Authorizations to Benefit Patients, Clinicians, Providers, and PayersCHICAGO, ...

Allegheny Health Network has implemented touchless prior authorization using AI automation technology in a partnership with Humata Health, a physician-led company backed by investors such as Optum ...

Payers say AI is not clicking the deny button on prior authorizations and provider claims, but the technology does play a key role in deciding which requests need further review.

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company, today announced a new solution that fully automates prior authorization at the point of care, ...

SAN FRANCISCO, Sept. 11, 2025 /PRNewswire/ -- Plenful, the leading AI workflow automation platform modernizing healthcare, today announced its Intake Authorization Management Suite. Built to end ...

Columbus, Ohio-based PriorAuthNow, maker of an electronic prior authorization platform, has closed a $10.5 million Series A funding round. The investment was led by Atlanta-based BIP Capital, with ...

Utilization management (UM) sits at the center of one of healthcare’s most persistent tensions: ensuring appropriate, evidence‑based care without slowing access to it. In practice, that tension has ...

The practice of medicine requires a high level of personal accountability. Physicians make life-or-death decisions every day, accepting the profound legal and ethical duties that come with caring for ...

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 ...