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 ...

The Yellowstone High Value Network in Montana aims to improve care models at independent rural hospitals while reducing costs ...

Welcome to this month’s issue of The BR Privacy & Security Download, the digital newsletter of Blank Rome’s Privacy, Security, & Data ...

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

Recent data from GoodRx Research exposes a concerning prescription landscape where insurance coverage doesn’t guarantee ...

Under the Medicare Drug Price Negotiation Program, the HHS secretary negotiates directly with manufacturers on the prices ...

Conflicting QSSD definitions from two federal agencies mean that CMS’ administrative authority on drug pricing and payment is ...

The U.S. District Court for the District of Maine recently dismissed two separate suits alleging that health plans’ coverage ...

WASHINGTON (AP) — Health Secretary Robert F. Kennedy Jr. announced a plan Wednesday to use medical data and records from people on Medicaid and Medicare to help study autism although experts say ...

Takeaways Even though we have the promise of a non-enforcement policy applying to the 2025 and 2026 deadlines of at least ...

“Without that voting requirement, it is not a meaningful dialog about improving the health and welfare of workers and how to pay for them, the Unions and the Administration simply pass whatever ...