Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The ...

Traditional Medicare, also known as original Medicare, has historically required little in the way of pre-authorization for beneficiaries seeking services; pre-authorization was typically the domain ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor prescribes an unusual, experimental, or expensive medication or procedure, the ...

Massachusetts insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for "many routine and essential" health care services, Gov. Maura Healey ...

Abridge has teamed its AI platform for clinical conversations with Availity’s digital platform that connects payers and providers to enable payer determination during a patient visit. The ...

MSAL admits to inadequate risk management ASIC action part of broader financial misconduct crackdown Shares rise 1.4% Dec 19 (Reuters) - Macquarie Group (MQG.AX), opens new tab said on Friday that its ...

CVE-2025-55182 (also referred to as React2Shell and includes CVE-2025-66478, which was merged into it) is a critical pre-authentication remote code execution (RCE) vulnerability affecting React Server ...

Fortinet has released security updates to address two critical vulnerabilities in FortiOS, FortiWeb, FortiProxy, and FortiSwitchManager that could allow attackers to bypass FortiCloud SSO ...

Aetna provided an update on its efforts to streamline the healthcare experience on Thursday, one year to the day after the fatal shooting of UnitedHealth’s top insurance executive sparked a wave of ...

A maximum severity vulnerability, dubbed 'React2Shell', in the React Server Components (RSC) 'Flight' protocol allows remote code execution without authentication in React and Next.js applications.

Prior authorization (PA) is a utilization management technique used by health insurers that requires providers to seek approval from the insurance plan before the plan will agree to pay for a covered ...

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