There is a tendency to overlook the multiple factors and stakeholders that contributed to the Rx opioid crisis. This includes ...

But EyePoint appears to have reversed its fortunes thanks to positive new interim data on its lead asset in diabetic macular edema (DME ... in China in tablet form to treat certain patients ...

Additionally, they requested that salaries be paid under the 010 head of treasury accounts, on par with the DME and DoPH. Currently, TVVP employs 13,000 regular and 4,500 contractual and ...

The insurer billed the tool as way to alleviate provider and patient frustration with the prior authorization process ... three of the nation’s largest Medicare Advantage insurers ...

The Second Circuit on Tuesday wrestled with Anthem’s eight-year-long challenge alleging Express Scripts breached a contract by failing to negotiate in good faith for competitive pricing. At issue ...

Optum Rx PreCheck Prior Authorization reduces physician administrative burden and expedites prior authorization approvals. This solution is the first of its kind in the market. Prior authorization is ...

When a clinician needs to submit a prior auth request, the platform will search the patient's medical record for relevant clinical data and then pull that into a pre-populated form, the companies ...

It’s still up for further innovation.” Likhmania has his money on DMEscripts to make the biggest inroads in e-prescribing adoption for DME in the next few years, because it’s the platform that’s most ...

A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the nation's largest Medicare Advantage insurers for their use of prior ...

The three largest Medicare Advantage insurers have dramatically increased prior authorization requirements and denials for post-acute care, often using algorithms, to enhance profits, a new report ...

The subcommittee is calling on the Centers for Medicare & Medicaid Services (CMS) to collect prior authorization data by service category and conduct audits when denial rates spike in certain areas.