If you’re a provider’s office, chances are you’re likely all too familiar with prior authorization (PA) requests. These ...

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

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

And the majority of physicians said prior authorization processes and forms were difficult to understand, and 58% said they did not have enough staff to handle authorizations.

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 ...

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 ...

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

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 ...