For some perspective, EviCore turned down prior authorization requests nearly 20% of the time in Arkansas in 2021. According ...

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 ...

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.

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 ...

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 ...