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Healthcare Dive

Healthcare Dive provides news, trends, jobs and resources for health industry professionals. We cover topics like healthcare IT, hospital administration, polcy & regulation, practice management, health law, insurance, and more.

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News


healthcaredive.com > news > medicare-spending-ineligible-otc-drugs-hhs-oig-audit > 829454

Medicare spent hundreds of millions of dollars on ineligible drugs, audit finds

1+ week, 4+ day ago   (558+ words) Shoddy CMS oversight is to blame, and the agency needs to do better, the HHS Office of the Inspector General said. Medicare Part D isn’t supposed to pay for drugs that can be purchased without a prescription. But the government’s…...


healthcaredive.com > news > unitedhealthcare-prior-authorization-codes-cut-1700 > 829406

UnitedHealthcare cuts prior authorization from 1,700 codes

1+ week, 5+ day ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...