From repealing existing prior authorization requirements to adding new ones, here are four states tackling the prior authorization system this year.
Category: ASC Coding, Billing and Collections
Is payer behavior taking away autonomy? This physician says yes
Physicians are facing rising prior authorization requirements and increasing denials, and some leaders say it is taking away their ability to make decisions.
Payers cutting prior authorizations: 3 major moves to know
Three major payers have cut prior authorization requirements in August:
3 Stark law updates affecting ASCs
Here are three Stark law updates that may affect ASCs:
5 largest payers by market share
UnitedHealthcare is the largest insurer in the U.S. by market share, according to a July 2023 report from Value Penguin.
The new prior authorization rules going into effect Sept. 1
On Sept. 1, UnitedHealthcare will begin its two-phased approach to eliminating prior authorization requirements.
Cigna in the headlines: 9 updates in 60 days
Cigna, the fourth-largest insurer in the U.S. by membership, has received accolades — and scrutiny — in the last two months.
3 most used medications on Medicare price negotiation list
The Biden administration has announced the first 10 medications that will be subject to price negotiations with Medicare under the Inflation Reduction Act.
1st 10 drugs subject to payer negotiations under controversial Inflation Reduction Act
The Biden administration has revealed the first 10 medications that will be subject to price negotiations between manufacturers and Medicare under the Inflation Reduction Act, according to an Aug. 29 report from CNBC.
AHA issues letter of support for 'gold card' legislation
The American Hospital Association, which represents 5,000 member hospitals, 270,000 affiliated physicians and 2 million nurses and caregivers, has authored a letter in support of proposed House Resolution 4968, the GOLD Card Act of 2023.
