The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
A KFF analysis released today found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023. The report found that MA ...
The rule is expected to reduce staff workload, with fewer manual processes, and better visibility into coverage requirements and authorization status.
HIV/AIDS activists heralded the approval of a new twice-yearly pre-exposure prophylaxis (PrEP) medication last year, but these celebrations were tempered by insurers’ reluctance to cover its ...
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