The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.
CVS Health (CVS) on Thursday announced that it plans to make a large portion of its prior authorization procedures consistent ...
CVS Health cuts prior authorizations, speeding approvals and expanding biosimilar use to reduce costs and improve patient access.
Prior authorizations have long been hated by many, but insurers call them an essential tool they use to control spending.
The House Banking and Insurance Committee advanced a bill on Wednesday, Jan. 14 that would allow certain health care ...
Powered by Phare Access – the smart patient access hub of R1’s Phare Operating System – R1 Prior Authorization manages the ...
Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...
While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...
Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York State Association of ASCs, joined Becker’s to discuss how deeper ...
Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...
Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...
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