The debate over the usefulness of prior authorizations for value-based contracting is often torn between providers who find the administrative elements burdensome and payers who find the programs...
Qualified health plans on the Affordable Care Act marketplaces in the South are more likely to impose prior authorizations for HIV therapies, creating barriers to treatment for HIV patients, a study...
The United Health Foundation is partnering with the CDC Foundation, Direct Relief, and the American Nurses Foundation to support the nation’s healthcare workers during the COVID-19 pandemic.
For...
Centene has created a support program to assist its network providers with grant writing, small business loan applications, and other key activities.
For more coronavirus updates, visit...
In its comments on the CMS advance notice for Medicare Advantage (MA) and Part D changes, the Medical Group Management Association (MGMA) urged CMS to pursue greater transparency in Medicare Advantage...
America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) joined together to defend prior authorizations in a statement submitted to the Committee on Small...
With its newly consolidated company, Cigna and Express Scripts are diving into the costly field of gene therapy and intend to increase members’ access through their new program, Embarc Benefit...
A new rule from CMS calls for electronic prior authorization (ePA) updates, aiming to improve prescribers’ decision-making processes, ease administrative burden, and decrease the wait time for...
