The reason is not a lack of innovation. It is a matter of direction. The industry has been automating the wrong thing.

The nation's top hospitals already use Recondo's Auth-DP to collectively automate an average of 85,000 prior authorizations per day. The solution was further advanced this year with natural language ...

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment. PHILADELPHIA, PA, UNITED STATES, January 27 ...

Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...

NEW YORK, Jan. 12, 2026 /PRNewswire/ -- Ascertain, a healthcare technology company pioneering agentic AI to automate administrative workflows, and Cardiovascular Associates of America (CVAUSA), the ...

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 ...

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 ...

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 ...

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 ...

PHILADELPHIA, PA, UNITED STATES, January 27, 2026 /EINPresswire.com/ — Ethermed, an AI-powered healthcare automation company, today announced a partnership with ...