The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services ...

New Product Streamlines Prior Authorization to Improve Patient, Provider, and Payer Outcomes BOSTON, MA / ACCESS Newswire / ...

Ever felt like picking up your prescription was more complicated than booking a flight with three layovers? You’re not alone.

Former congressman Michael Burgess opposes a White House executive order that ties U.S. drug prices to the artificially low, ...

Congress has attempted to pass “federal PBM reform.” Members of Congress have held numerous hearings related to PBMs and ...

Healthcare has seen a slew of proposed policy changes at the federal level in recent months. Here are the 10 most important federal policy updates for ASC leaders and physicians to know since May 1: 1 ...

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

Providers can go on our HealthPas portal to obtain the prior authorization form. They can submit this along with required ... The QMB benefit is a separate benefit within the Medicaid program It is ...

Prior authorization, a process requiring healthcare providers to obtain approval from insurance plans before certain medications, medical services, or procedures can be administered, is a significant ...

If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.