The Reality Behind Medicare Advantage Prior Authorizations
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Medicare Advantage Plans: Prior Authorization Denial Rates
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.
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Countdown to Chaos? The 540-Day EAD Extension in Legislative Crosshairs
If you have been following immigration news and are wondering how changes in Washington might affect your workforce, you are not alone. Senate ...
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Dr Debra Patt on Prior Authorization: Something Has to Give
Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...
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New York's Health Information Privacy Act Aims to Strictly Regulate Consumer Health Data
On January 22, 2025, the New York State Assembly and Senate rapidly passed the wide-ranging New York Health Information Privacy Act (“NY HIPA”).
Mastering Medicare Advantage Prior Authorization: Tips to Accelerate Your Approval
Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...
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NC bill would limit insurers' prior authorizations
House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...