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Biden administration finalizes prior authorization changes

WASHINGTON — The Biden administration on Wednesday finalized a rule aimed at streamlining health plans’ use of prior authorization, fulfilling a priority of physician groups and many members of Congress. ....

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'A step in the right direction': Payer, provider groups weigh in on new prior authorization rule

Six payer and provider organizations share their thoughts on the prior authorization rule CMS finalized Jan. 17. ....

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Physician groups denounce 4.5% payment cut in final rule

While the Centers for Medicare and Medicaid Services is touting the behavioral health and other benefits of the physician fee schedule final rule released Tuesday, physicians are denouncing its 4.5% payment decrease caused by statutory-mandated cuts. The 2023 Medicare Physician Fee Schedule final rule reflects the end of the temporary 3% supplemental increase from 2022. The ....

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CMS proposes revoking 'Most Favored Nation' drug pricing model

CMS proposes revoking 'Most Favored Nation' drug pricing model
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