Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...
Prior authorization can help encourage the efficient use of health care resources but too often, it delays treatment patients ...
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.
Several studies highlighted at a recent meeting document the growing toll prior authorization takes on patients and ...
Prior authorizations were reported by 74% of cancer survivors, of whom half of personally resolved it, representing a large time burden.
“Cancer patients and their families are being pulled into the insurance prior authorization process, at the expense of their ...
The requirements will make exchanging health data more efficient and reduce administrative burden. Today CMS finalized the Interoperability and Prior Authorization Final Rule, continuing its efforts ...
Prior authorization could be more prevalent in Ohio Medicare, the federal insurance program for seniors and people with ...
Starting Jan. 1, Ohio will be taking part in a pilot program to use artificial intelligence in the approval of prior ...
GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six ...
Yet critics warn this will add another layer of bureaucracy for Texans seeking medical care. They also worry that the program ...
Fairview Health Services is alerting tens of thousands of patients with UnitedHealthcare Medicare Advantage insurance that ...
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