A bill to reform prior authorization requirements for Medicare Advantage (MA) – a massive burden that nursing home operators have been trying to change ...
Prior authorization rates are increasing at ASCs, according to HST Pathways’ latest “State of the Industry Report.” The ...
Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...
Health plans limit physical or occupational therapy sessions to as few as 20 a year, no matter the patient’s infirmities. The ...
Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...
Using AI-enabled tools to automatically deny more and more needed care is not the reform of prior authorization physicians and patients are calling for,” said AMA President Bruce A. Scott, MD.
The maker of a new prescription drug product for people with life-threatening allergies is using copayment coupons to build ...
The PBM also announced that it will make the pharmacy experience simpler for consumers with chronic conditions by eliminating ...
The massive PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are ...
Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager ...
Optum — which is UnitedHealth Group’s division that controls one of the nation’s largest pharmacy benefit managers — is moving to improve access and pricing for prescription drugs by cutting some ...
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