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Bio Xconomy
bioxconomy. com > pricing-and-contracting > high-prior-authorization-rates-drive-ma-exodus

Medicare Advantage prior authorization problems

2+ hour, 48+ min ago  (154+ words) Minority and dual-eligible patients face stricter coverage rules, study shows. This paid access article from Health Affairs discusses prior authorization in the Medicare Advantage program. Specifically, the authors found that these plans with high prior authorization rates are driving patients…...

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Bio Xconomy
bioxconomy. com > pricing-and-contracting > oig-targets-drug-pricing-gaps-in-medicare-programs

OIG finds Medicare drug pricing payment issues

1+ mon, 1+ week ago  (341+ words) Agency finds vertical integration raises enrollee out of pocket costs while premiums stay low. The Office of Inspector General (OIG) plays a critical role in combating fraud, waste, and abuse across Department of Health and Human Services (HHS) programs, while…...

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Bio Xconomy
bioxconomy. com > access-and-channel > patient-advocate-foundation-and-pan-foundation-merge-to-create-largest-nonprofit-patient-assistance-org

Patient Advocate Foundation and PAN merge

3+ mon, 3+ week ago  (497+ words) The combined entity will launch Total Assist in July, offering financial aid and case management through a single platform for patients nationwide. Last week, the Patient Access Network (PAN) Foundation and the Patient Advocate Foundation (PAF) announced they were merging…...

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