In 2023, 11.7% of denied prior authorization requests were appealed in MA and of those cases, 81.7% were partially or fully overturned. The AHA Jan. 27 voiced support for the Centers for Medicare & ...

An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, ...

Aetna, Centene and Kaiser Permanente denied at least one in 10 Medicare Advantage prior authorization requests in 2023, according to a KFF analysis published Tuesday. Across the industry ...

Under FERPA, a school may not generally disclose personally identifiable information from an eligible student's education records to a third party unless the eligible student has provided written ...

So that’s the point of the prior authorization is so the doctor writes that newer expensive medication they want the doctor to call them and say, such a date 10 years ago, they tried the cheaper ...

MONTGOMERY — A total of 30 health care groups have joined the Medical Association of the State of Alabama in its effort to push to reform health insurance prior authorization requirements ...

An authorization letter is a kind of agreement between two people and is usually sent as proof that the person can act on someone else’s behalf. The workplace is ever-evolving, but the need for ...

A scientific statement by the AHA has been published regarding nursing wellness in cardiovascular and stroke care. The American Heart Association (AHA) has published a scientific statement on nursing ...