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...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Health System / Hospital, Insurance, Patient / Consumer, Payer, Provider
Turning the tables: How providers can maximize their leverage in payer negotiations
Insurer Will Launch 'Gold Card' Program to Skip Prior Authorization
Medicare Advantage members expect more — how top-rated payers respond
20 payers requesting the largest raises for ACA premiums in 2025
Elevance Health expands into Florida, Texas ACA markets

Share This Article