In response, virtually all plans that covered this treatment removed prior authorization requirements. Medicaid plans should do the same, according to RTI, writing in the July 9 issue of the Journal of the American Medical Association (JAMA)....
The bill also did not include electronic prior auth standards that was broadly supported by all sectors, even some insurers, in healthcare, nor did it include provisions to prevent future pandemics and address the opioid crisis. The Senate did separately pass a cancer research bill that was inc...
43,44 The observed sex difference in the rates of X-waivered obstetrician-gynecologists in our study may be reflective of prior evidence that showed differences in practice styles, whereby male obstetrician-gynecologists were more likely to manage the nonreproductive health conditions of their patients...
Florida Medicaid claims data are used to compare methods based on prior cost, and concurrent and prospective diagnosis-based models. Individuals with prior year expenditures in the top decile or with predicted expenditures in the top decile from the diagnosis-based models were expected to be high-...
The Relationship between Formal andInformal Care amongAdult MedicaidPersonal Care Services RecipientsDarcy K. McMaughan Moudouni, Robert L. Ohsfeldt, ThomasR.Miller, and Charles D. PhillipsObjectives. To test hypotheses concerning the relationship between formal and infor-mal care and to estimate the...