Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

The changes to prior authorization will be phased in over the next year and a half, the companies said. In all, insurers said the changes would apply to 257 million Americans covered by private ...

Ted Okon, MBA, of the Community Oncology Alliance discusses how community oncology faces a revenue crisis due to the ...

An Orange County man has been charged with helping carry out a nearly $270 million Medi-Cal fraudulent billing scheme that ...

In a sector where utilisation and reimbursement are tightly linked, reduction in admin drag supports more stable, visible revenue streams.

An Orange County man is expected to be arraigned July 17 for his alleged role in a health-care fraud scheme in which nearly $270 million in bogus claims were submitted to Medi-Cal for expensive ...

Optum Rx officials said they now have eliminated reauthorization requirements for more than 140 chronic disease medications.

Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...

An Orange County man is expected to be arraigned July 17 for his alleged role in a health-care fraud scheme in which nearly ...

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

Here’s the latest in the Prior Authorization fight, hiring among spine companies and the worrying rise in youth hockey ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...