Payers
Aetna bundles cancer treatment prior authorizations following industrywide scrutiny
A number of large insurers have pledged to reduce prior authorizations in the past year.
Utilization Management & Prior Authorization
Coverage of the strategies, challenges, and innovations defining the current state of utilization management & prior authorization in the healthcare space.
Payers
UnitedHealthcare will drop prior authorization for 1,700 codes
The move follows years of criticism from patients and providers about the process.
Payers
An early look at the rollout of Medicare’s pilot program for GLP-1s
Medicare began covering GLP-1s for obesity on July 1.
Payers
Aetna’s CMO on the plan to win back providers’ trust
Prior authorization is a major source of concern.
Payers
Medicare Advantage organizations are denying some post-acute care at high rates
Medicare Advantage’s prior authorization process is still a “Wild West,” one expert says.
Payers
The missing piece in prior authorization reform? Providers, some argue.
Prior auth reform is being, well, reformed.
Payers
As gold card programs grow, criticism persists
It’s a golden ticket…with fine print.
Healthcare Brew covers pharmaceutical developments, health startups, the latest tech, and how it impacts hospitals and providers to keep administrators and providers informed.
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