Utilization Management & Prior Authorization

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

Insurance policies affect how doctors and nurses treat patients, surveys find

More than half of nurses said their job satisfaction has declined because of insurance requirements.