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The Confessions of Health-Insurance ExecutivesIn the process, he has run up against a hardball form of retribution from Cigna. After his business started having ... at least push for marginal improvements to mechanisms like prior authorization.
The scan was denied by a company called EviCore by Evernorth, a Cigna subsidiary that makes prior authorization decisions. Shahriar, an internal medicine resident, said he spent hours on the phone ...
A bill to reform “prior authorization” has passed both the North Dakota House and Senate.
Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...
The collaboration represents the first time Sutter Health has formed a joint venture with a Medicare Advantage insurer, ...
Prior authorization requires doctors to get approval ... Optum Rx and the other members of the Big Three — Cigna-owned Express Scripts and CVS-owned Caremark — have also launched ...
The scan was denied by a company called EviCore by Evernorth, a Cigna subsidiary that makes prior authorization decisions. Shahriar, an internal medicine resident, said he spent hours on the phone ...
Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...
The practice is known as "prior authorization." Patients often have to wait days or weeks to find out if their insurance company will cover the treatment or medication their doctor recommends.
In 2023, the company eliminated 20% of prior authorization requirements and in 2024, introduced a gold card program, which allows certain providers to skip prior authorization for specific services.
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