A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
As one provider told us in a national survey, “Prior authorizations are the pits!” This sentiment is shared widely both in and outside of the healthcare industry, and deservedly so. I am a patient, ...
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 ...
Medicare Advantage prior authorizations have few friends. Doctors hate them. Patients hate them. Politicians say they hate them and introduce bills to curb them. But how onerous are they really? Less ...
Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a recent American Medical Association survey found. The survey was conducted in December and asked ...
The administrative burden of utilization review processes like prior authorizations and concurrent review has long been a thorn in the side of healthcare providers. While prior authorizations have ...
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 ...
Use of prior authorization in the Medicare Advantage (MA) program continues to increase, according to a report from KFF. More than 46 million prior authorization requests were submitted to Medicare ...
FALLS CHURCH, Va., Aug. 26, 2024 /PRNewswire/ -- careviso, a leader in healthcare technology solutions, proudly announces that it has surpassed a significant milestone, completing over 2 million prior ...
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 ...
SAN FRANCISCO, June 12, 2025 /PRNewswire/ -- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has passed the 1MM milestone in prior authorizations ...
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