Tag
prior authorization
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CMS trials prior authorization for select Medicare services
A new CMS pilot program that imposes prior authorization on several procedures potentially opens the claims process to fraud and…
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Given that ‘step therapy’ is also called ‘fail first,’ there are many angles to pursue
For journalists covering the Trump administration’s plan to expand step therapy to Medicare Advantage, there are important angles to cover…
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Prior authorization rules: Yet another way the health insurance system frustrates physicians and patients
For patients and physicians, many aspects of the health care and health insurance systems are frustrating and appear to be…