UnitedHealth CEO Andrew Witty’s recent public comments suggest he understands healthcare’s biggest problem. The question is: Will he take action to fix it?
In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. Not only would abandoning prior ...
The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...
If you have been following immigration news and are wondering how changes in Washington might affect your workforce, you are not alone. Senate ...
Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...
Rep. Timothy Reeder (R-Ayden), an emergency room physician from Pitt County, said that reforming the prior authorization process in the state will be at the top of his legislative agenda. Reeder ...
The Cigna Group will spend up to $150 million to reform its prior authorization, patient advocacy and provider services this ...
Cigna will roll out measures to simplify the process for physicians to submit claims and prior authorization requests, the U.S. health insurer said on Monday. The killing of Brian Thompson, the head ...
House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...
MA plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers patients face in accessing care.
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