Drug utilization management such as prior authorization and stricter formularies cost the healthcare industry $93 billion annually, with patients bearing the largest share of the cost, a new study ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

The partnership combines Abridge’s conversational AI platform with Availity’s FHIR-native Intelligent Utilization Management ...

Payers must continue to assess their prior authorization practices to uphold the goals of clinical quality, safety, and utilization management. Like many others, I was drawn to be a doctor because I ...

Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization ...

AI clinical conversation platform Abridge is partnering with health information network Availity to launch a real-time prior ...

Bob Dylan, winner of the Nobel Prize in Literature and one of the greatest American songwriters of all time, has effectively used wind as a metaphor in a number of songs he has written, each with its ...

For decades, the prior authorization process has been an albatross for payers, providers and patients. Although utilization management processes are necessary to ensure value-based care, these ...

While some utilization management protocols may be grounded in sound clinical decision making, such as prior authorization to limit drug-to-drug interactions or to prevent overprescribing of ...

Opioid utilization management in Medicare was associated with mixed effects on opioid prescribing, and prior authorization was associated with a decreased likelihood of subsequent overdose. Objectives ...

Of the physicians surveyed, 87 percent said prior authorization led to higher overall health care utilization, 79 percent said it led to patients paying out-of-pocket for medications, 69 percent ...

It's no secret that burnout is a struggle across the healthcare industry, and the complex, time-consuming prior authorization process is one contributor. In fact, the U.S. Surgeon General addressed ...