Prior Authorization News Today

Governor Kevin Stitt signed House Bill 3190 into law on Wednesday, a significant change to prior authorization procedures to better ensure that Oklahoma patients get the care they need.

The Vermont Legislature has passed a bill that will streamline insurance approvals, making it easier for Vermonters to get the health care they need.

Medical experts discuss the challenges of starting treatment for newly diagnosed, cognitively impaired patients, addressing prescription processes, patient education, and the role of cost, care quality, and convenience in promoting successful medication adherence.

Presenters at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting discussed the current promise and future potential of gene and cell therapies, as well as payer management strategies for these costly treatments.

Adam Colborn, JD, director of government relations for the Academy of Managed Care Pharmacy, discussed how providers can comfortably switch patients to biosimilars while minimizing anxieties, as well as the impacts prior authorization requirements can have on patient access.

My Fellow Shareholders, SS&C made progress in 2023 and posted good results. Our focus on client retention, timely implementations, pricing and increased sales...

For decades, Amina Tollin struggled with mysterious, debilitating pain that radiated throughout her body. A few years ago, when a doctor finally diagnosed her with polyneuropathy, a chronic nerve condition, she had begun to use a wheelchair. The doctor prescribed a blood infusion therapy that allowed Tollin, 40, to live her life normally. That is, […] The post States want to make it harder for health insurers to deny care, but firms might evade enforcement appeared first on Alabama Reflec...

Kansas Attorney General Kris Kobach awarded a no-bid contract with a 20% contingency fee to a law firm helping sue TikTok in Shawnee County court.

Although I previously declared January 2024 Medicare Advantage (MA) Month, this week has also been filled with news about the MA program. The Centers for Medicare & Medicaid Services...

As part of its ongoing mission to modernize and improve the interoperability of the health care system, on January 17, 2024, the Centers for Medicare & Medicaid Services...