The prior authorization changes, announced this week, are part of the Centers for Medicare & Medicaid Services' (CMS')2024 update of policy changesfor Medicare Advantage and Part D pharmacy plans Medicare Advantage plans' business practices have raised significant concerns in recent years. More than...
Appropriate Use of Time? Medicare Rules for Advanced Imaging Orders Pose Prior-Auth Burdens 来自 Semantic Scholar 喜欢 0 阅读量: 6 作者: J Berlin 摘要: An effective way to cut down on overuse of potentially harmful imaging, or a prior authorization-esque burden on physicians who order needed ...
Lawmakers and beneficiary advocates are pressing HHS to pause the impending expansion of a Medicare model that relies on prior authorization to reduce improper ambulance payments, arguing that unless gaps in the program are filled with non-emergency transport, going nationwide will harm patients with ...
Centers for Medicare & Medicaid Services. Qualified health plan certification: information and guidance. Accessed January 20, 2020. https://www.qhpcertification.cms.gov/s/ReviewTools 51. Jacobs PD, Banthin JS, Trachtman S. Insurer competition in federally run marketplaces is associated...