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The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How does ...

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, ...

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In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. Not only would abandoning prior ...