Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers.

Tech tackles delays: AI-based referral systems and automated prior authorization tools are designed to cut scheduling backlogs and speed up treatment approvals. Teledermatology boost: Virtual visits ...

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, ...

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 ...

JACKSONVILLE, Fla. & NASHVILLE, Tenn.--(BUSINESS WIRE)--Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment ...

The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...

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 ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

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 ...

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 ...