The federal government should require nonprofit hospitals to justify their tax-free status with standardized charity care ...

There is a tendency to overlook the multiple factors and stakeholders that contributed to the Rx opioid crisis. This includes ...

Survey reveals 86% of physicians frustrated with prior authorizations hindering patient care. Find out the common challenges and desired changes in the process ...

Still, gross spending on the drugs increased by more than 500% from 2019 to 2023, according to the health policy research ...

Ned Lamont regarding the success of the Medicaid program in its current form. Matthew Barrett ... to interface with Medicaid and to follow the necessary steps around prior authorization without having ...

In the wake of the biggest American political comeback in more than 100 years, stakeholders in the health industry are asking themselves: What ...

The most familiar example is prior authorization, a process through ... federal and state governments that cover care through Medicaid and Medicare Advantage, and insurers. Another scenario ...

Medicaid spending on GLP-1 drugs has skyrocketed in recent ... The report also noted that the heightened demand for the drugs has led to drug shortages, which has occasionally caused people to switch ...

Obesity drug coverage in Medicaid remains limited ... 1 also reported that utilization controls were applied, mostly prior authorization or body mass index requirements. Eleven of the 12 states ...

An intervention reduced prior authorization delays or denials, the time needed for treatment plan completion, and the time until prior authorization was completed.

Blue Cross Blue Shield is the best insurance company for weight loss drug coverage because sometimes ... This is called prior authorization, and it means your doctor will need to submit a form to your ...