Utilization Management & Prior Authorization

The missing piece in prior authorization reform? Providers, some argue.

Prior auth reform is being, well, reformed.

As gold card programs grow, criticism persists

It’s a golden ticket…with fine print.

Here are some of Healthcare Brew’s top stories from the first half of the year

According to you, our readers.

Prior authorization gold cards might need a new prescription

Gold cards promise VIP treatment for top docs, but red tape and rigid rules mean few actually qualify.

This startup is appealing insurance denials on patients’ behalf

Startup Claimable wants to make it easier for patients to appeal insurance company denials.

How buy and bill works

The buy-and-build model explained in terms you’d understand (i.e., crocheted bees).

Price check: Managing costs amid the rise of GLP-1s