| With budget reconciliation right around the corner, different slices of the healthcare industry have made their views clear on issues like physician pay, ACA subsidies, telehealth flexibilities, ...
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 ...
On January 17, 2025, the U.S. Department of Homeland Security introduced a final rule modernizing the H-1B visa program. Key ...
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 ...
Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...
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