Prior authorization — in which a patient needs approval from the health plan before proceeding with a medical service — has long created a rift between payers and providers. It has gotten such a bad ...

Health plans have been expanding the use of prior authorization as a tool to control costs for several years, to the frustration of physicians. MGMA members put the practice at the top of a list of ...

WATERTOWN, Mass.--(BUSINESS WIRE)--athenahealth, a leading provider of network-enabled software and services for medical groups and health systems nationwide, today announced that Spine Colorado, a ...

Canton-area residents report care delays because of prior authorizations and denials. The Ohio State Medical Association has recognized physicians' growing discontent with third-party administrative ...