Prior Authorization

Prior authorization continues to be one of the most time-consuming and costly administrative burdens in U.S. healthcare. For hospitals, specialty practices, and health systems, managing high volumes of prior authorization requests, each with complex clinical criteria, varying payer rules, and tight deadlines, can lead to delayed patient care, increased staff burden, and revenue leakage. To […]

For most orthopedic practices, prior authorization feels like a constant roadblock. What was meant to ensure medical necessity has become a major administrative burden. Every MRI, injection, or joint replacement often requires payer approval before treatment can begin. In 2026, that burden is even heavier because payer rules are changing faster, more plans are moving […]