A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
People walk inside a Medicare Services office in New York City. Reporter Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid ...
The back and forth between providers and payers over prior authorization data exchanger is approaching its peak. Here are two programs that, if broadly adopted, could help the two sides work together ...
Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...
Major health insurance providers have agreed to reduce the need for prior authorization — the requirement that patients must get approval from insurers before receiving certain treatments or risk ...
Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...
What to do if a “prior authorization” is making it difficult to get your medication Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your ...