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Is AI in Prior Authorization Promising or Dangerous?

AI can improve the prior authorization process, but there needs to be more transparency, experts said during a recent panel held by KFF. ....

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The Kaiser Family Foundation (KFF) - Discussion - Insurance News

The Kaiser Family Foundation (KFF) - Discussion - Insurance News
insurancenewsnet.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from insurancenewsnet.com Daily Mail and Mail on Sunday newspapers.

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Feb. 22 Virtual Event - The Health Wonk Shop: Prior Authorization in Health Insurance: A Needed Tool to Contain Costs or an Excessive Barrier to Needed Care?

Nearly 1 in 5 consumers with health insurance say their insurer delayed or denied care in the past year due to its requirements for prior authorization, a process through which insurers can require patients to obtain approval in advance before they will agree to cover specific services. Insurers point to prior authorization as a tool<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/other/event/feb-22-virtual-event-the-health-wonk-shop-prior-authorization-in-health-insurance-a-needed-tool-to-contain-costs-or-an-excessive-barrier-to-needed-care/" class="see-more light-beige no-float inline-readmore">More</a></p> ....

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Biden cracks down on prior authorization – but there are limits

Biden cracks down on prior authorization – but there are limits
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Biden Cracks Down on Prior Authorization — But There Are Limits

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […] ....

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