Jefferson CEO Joseph G. Cacchione said Hoglund's experience in Wisconsin at a health insurer owned by a hospital system made ...

Policy makers should continue to provide clear rules of the road, increase transparency, apply more effective oversight, and ...

House Bill 2130 passed Tuesday in a unanimous vote of 60-0 in the Arizona House of Representatives. The legislation would ...

3700, Automation and Payment Issues in STAR+PLUS HCBS Program Revision 25-1; Effective Feb. 19, 2025 Revision 25-1; Effective Feb. 19, 2025 ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

The physicians and other health professionals at Ochsner Health—the Official Medical Provider for the New Orleans Super Bowl Host Committee—have stepped into the huddle, crafting a game plan to keep .

The Cigna Group will spend up to $150 million to reform its prior authorization ... a more sustainable health care model.” Related: Cigna and union health care plans sue Minnesota over PBM ...

Health First’s Heart & Vascular Program has earned its third straight 3-star overall isolated Coronary Artery Bypass Graft (CABG) recognition from the Society of Thoracic Surgeons (STS).

Similar to physical First Aid and CPR, Mental Health First Aid ... in-person instructor-led session A 5-step action plan to recognize warning signs of a mental health or substance use challenge, ...

"Automated and expedited prior authorization is often more complex than it may appear," notes Cohere Chief Product Officer, Matt Parker. "Health plans need more than standards-based APIs to ...

Who's going to drop the ball first?” State Rep. Grant Campbell, R-Cabarrus, is a practicing OB-GYN and Watson’s former doctor. He said prior authorization ... of Health Plans, says insurers ...

A House Republican has proposed a simple way to end complaints about health plan ... authorization requirement, any utilization management technique (including any step therapy or fail-first ...