A Surescripts-led pilot has shown that medication prior authorization can be processed in as little as 18 seconds without AI, sharply reducing denials and appeals. The program’s expansion across 20 ...
Andrew Mellin, M.D., discusses Surescripts’ pilot program for prior authorization system, which pulls clinical data from EHRs ...
Jefferson County’s long-running opioid fight with pharmacy benefit managers Express Scripts and Optum Rx now has a firm trial ...
Optum is recalibrating as it sheds providers, tightens its network and doubles down on AI and ASCs. Here’s a breakdown of what’s new with Optum and SCA Health. Scaling back to move forward In a recent ...
SAP Landscape Management (LaMa) is an orchestration solution to simplify, automate, and centralize the management and operations of your SAP landscapes running on premise, in the public or private ...
Minnesota’s House of Representatives passed HF3378 in a 107-27 vote March 12, which aims to grant lawmakers access to the full, unredacted Optum report on the state’s Medicaid program. “How in the Sam ...
Health care giant Optum is closing a family medicine clinic in Northeast Portland, only a few years after buying out the long-standing local primary care operation. A letter sent to patients Feb. 5 ...
To continue reading this content, please enable JavaScript in your browser settings and refresh this page. Preview this article 1 min Hamilton County joins a wave of ...
Tacoma, Wash.-based MultiCare Health System is suing Optum and Change Healthcare, alleging that Change owes the system at least $1.2 million in outstanding claims. The lawsuit, filed Jan. 27 in ...
The acquisition of ASCs by UnitedHealth Group’s Optum, parent company of ASC chain SCA Health, was associated with double-digit price increases for competing insurers, according to a February study ...
Optum is rolling out new AI-powered tools that aim to reduce delays associated with prior authorization. The company unveiled two new platforms aimed at streamlining the decision process: Digital Auth ...