HealthLeaders Media May 28, 2024
Marie DeFreitas

Many health systems and patients have struggled with prior authorization procedures.

Prior authorization practices are staying in the spotlight. Health systems are looking for payers to do more to enhance the prior authorization process. While some health insurers have made strides, several states and health systems took matters into their own hands. From partnerships to policy reform, check out our five updates on prior authorization for payers.

  1. In April Humana expanded its partnership with Cohere Health’s prior authorization platform for diagnostic imaging and sleep services. We reported on this partnership last month, read the full coverage.
  2. A Kodiak Solutions report details that the final denial rate for inpatient claims in 2023 was more...

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