Jul 22, 2025 · Payers, Denials & Prior Authorization
AI, Prior Authorization, and the Hidden Drag on U.S. Device Innovation
July 2025 Executive Summary Across both public and private payers, prior-authorization (PA) denials are increasingly undermining market access for…
Apr 5, 2025 · Payers, Denials & Prior Authorization
Four Strategies to Improve Prior Authorization Impact On Your Business
UnitedHealth Group Provides Fact Sheet on Medical Claims (10% Denial Rate Reported) Dec. 13, 2024 “UnitedHealth Group today provided the following…
Dec 8, 2024 · Payers, Denials & Prior Authorization
United Healthcare Denials
Discover how surgeons can prevent UnitedHealthcare claim denials with expert tips and strategies to navigate insurance challenges effectively
Jul 15, 2024 · Payers, Denials & Prior Authorization
A Novel, AI-Based Method of Mitigating Prior Authorization Denials
How one ENT practice reverse-engineered payer AI to cut first-pass prior authorization denials to 2% and peer-to-peer reviews to fewer than one in…
Jun 17, 2024 · Payers, Denials & Prior Authorization
Before You Drop Insurance
CAN THERE BE DIRECT PAY “HAPPINESS” WITHOUT THE NEED TO CUT YOURSELF OFF FROM INSURED PATIENTS? As specialists increasingly encounter administrative…
Mar 8, 2024 · Payers, Denials & Prior Authorization
The Ripple Effect of UnitedHealth Group’s Cyberattack
Discover how this healthcare crisis, potentially surpassing COVID's impact, affects surgeons and systems, with over 33,000 payers and 50% of the…
Nov 24, 2023 · Payers, Denials & Prior Authorization
Surgeons on a War Footing
As a healthtech CEO, I’ve been monitoring the intensifying conflict between healthcare providers and payers, a topic recently spotlighted by Brian…