For patient advocates and health economists, cases like Ekirch’s illustrate why prior authorization has become such a chronic pain point for patients and doctors. For 50 years, insurers have ...

CMS finalized a key provision that holds Medicare Advantage insurers responsible for paying inpatient hospital admissions claims previously approved through the prior authorization process.

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.

If you are playing in a home ESPN or Yahoo fantasy league, my cheat sheet will speed up your learning curve and highlight many breakout, sleeper, and upside players. I've included my latest ...

Optum Rx said it plans to apply the policy to additional drugs in the future. Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical ...

That's why they invented cheat sheets; for weekends like this. Unlike other cheat sheets, this one isn't just rankings. We've taken the best of Eric Karabell, Tristan H. Cockcroft, Todd Zola ...

In 2017, all 1s 2s, 3s and 4s won their first-round game. Prior to that, the last time that happened was 2007. It's happened just six times since 1985. 62 vs. 58: No. 1 seeds have made the Final ...

Below The Radar's win over C&D last term was a real fighting performance and while the early pace was fast in a small field, there was certainly a slackening of the gallop in the mid part, but his ...

One of the greatest advancements in my lifetime has been the proliferation of the Internet. While the web has been the greatest distracting tool in my life, it’s full of information. Anything I ...

Finding your way around Windows 11 or looking to get more out of Windows 10? Computerworld’s cheat sheets are easy-to-use guides to help you navigate Microsoft’s core productivity software.

Welcome to our fantasy baseball 2025 draft kit, offering award-winning rankings (and award-winning writers), projections, a customizable cheat sheet, sleepers, strategy, and everything in between ...