The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health ...

Medicare is requiring more pre-treatment approvals in its fee-for-service program in a bid to root out unnecessary care, federal regulators announced Friday. The big picture: Traditional Medicare ...

Panelists discuss how switching from intravenous (IV) to subcutaneous (SubQ) therapies requires proactive management of reimbursement, authorizations, and clinical workflows—emphasizing early payer ...

In about a one-week span, the Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services ...

Major U.S. insurers said they would streamline the prior authorization process. 1 Health insurance trade association AHIP ...

Surgical coordination remains one of healthcare’s most persistently complex challenges. It relies on a small group of highly skilled yet frequently overstretched staff who must navigate a maze of ...

The question of why and when the United States decides to wage war is a bit complex and requires more than a simple answer.

Health insurance authorizations & their real consequences A Central Florida man who spent three decades fighting crimes is now fighting his insurance company. (WFTV) ...

US government authorizations are restricted to the details in submitted paperwork or information. The International Scholar Services Counselors personally attest to the accuracy of those details. Care ...

Attempts to curtail prior authorizations for patients insured by Medicare Advantage plans have failed in back-to-back legislative sessions in 2019 and 2021, but a new bill has some experts hopeful ...

ESMA questioned the timing of the authorization of a certain “CASP entity” where “material issues remained unresolved or pending remediation at the time of the authorisation.” ...