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

Going to notify Medicare next. I'm forced to use Express Scripts, which has been a ... after getting the new prescription because of prior authorization issues. Dr sent the prescription in on ...

Opens in a new tab or window Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care ...

Opens in a new tab or window Share on LinkedIn. Opens in a new tab or window Declining Medicare reimbursement and continuing prior authorization hassles for physicians were among the familiar ...

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 largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older ...

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 ...

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 ...

Survey reveals 86% of physicians frustrated with prior authorizations hindering patient care. Find out the common challenges and desired changes in the process ...

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.