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

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

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 ...

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

The burden of prior authorizations (PA) has been a topic of discussion for quite some time due to concerns that the current process burdens providers and slows down care delivery. Providers continue ...

Even before the COVID-19 pandemic, the prior authorization process had become the bane of doctors and patients. Physicians say that health insurers’ authorization requirements, which can delay the use ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...

Medicare is testing the use of artificial intelligence to preapprove several healthcare services.