Health lawyers, bioethicist call for tighter regulation of AI in prior authorizations
By
Josh Henreckson
Jul 11, 2024
While artificial intelligence promises exciting efficiency benefits, its usage in insurance prior authorizations demands wider and more holistic oversight from state and federal bodies, a trio of experts...
Government inaction is neglect
By
Jean Wendland Porter
Jun 25, 2024
Some people look forward to spring for the warmer weather and daffodils. I love spring because the Cleveland International Film Festival comes around. I saw a movie this year called First We Bombed New...
Providers express support for MA prior authorization reform bill
By
Donna Shryer
Jun 16, 2024
Nursing home and senior living providers on Friday praised the newly introduced Improving Seniors’ Timely Access to Care Act, which would address the longstanding issue of prior authorization required...
Prior authorizations 2.0 : A pilot study
By
Steve Shain
Dec 19, 2023
There is one thing more frustrating than a delayed flight: an on-time flight, with a delay mid-air. The pilot announces some airline jargon about a gate change and holding pattern, and next thing you know...
Lawmakers pushing CMS to ease Medicare Advantage prior authorizations
By
Kimberly Marselas
Jun 26, 2023
Close to 300 members of Congress are urging federal regulators to do more to reduce burdensome Medicare Advantage requirements that can slow delivery of care to nursing home and other patients.
‘Impossible’ Medicare Advantage denials decried during Senate hearing
By
Kimberly Marselas
May 18, 2023
A Senate subcommittee Wednesday sent letters to the nation’s largest Medicare Advantage insurers, demanding they reveal internal documents that illustrate how they make coverage determinations.
Prior authorization guidance for the rehab provider
By
Renee Kinder
Mar 30, 2023
As a rehab professional, is there anything more miserable than the gathering of stacks of documents and searching for records needed for pre-authorization? Awful scans, missing documents, and most importantly...
House committee approves bill that would reform prior authorization under Medicare Advantage program
By
Danielle Brown
Jul 29, 2022
Providers demanding change to the Medicare Advantage program may soon get their wish after a House panel advanced a measure that would reform the program’s prior authorization process.