Health insurance is covering fewer medications, with Medicare patients facing stricter restrictions. Profit-driven ...

The term "prior authorization" has become reviled on Capitol Hill. Yet legislation to limit health insurance pre-certifications has been held up time and again, not unlike the treatments and ...

Express Scripts, Cigna, UnitedHealthcare, CVS Caremark and Optum Rx are among the payers that have added Yesintek to their ...

Last month, the federal government announced a major overhaul of the Federal Risk and Authorization Management Program (“FedRAMP”) called ...

Legislation allowing long-term care pharmacists to bill for some services they already provide may be a critical financial lifeline for them.

It could improve access to community pharmacies and lower prices. Or it will limit access to critical drugs and impact payers’ ability to contract for a broad range of services. Industry leaders are ...

HIPAA-regulated entities are asked to take steps to ensure full compliance with the current HIPAA security requirements, like data backup.

Melanie Stinnett is holding out hope that the Missouri General Assembly will come to an agreement on legislation limiting prior authorization for health care services.

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know.

Take action for trustworthy journalism. Support reporting for Texans, by Texans. Independent news. Trusted by Texans. Support us. By Eleanor Klibanoff 40 minutes ago If it becomes law, the bill ...