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News
UnitedHealthcare's 1,700 Prior Auth Cuts Draw Muted Applause
6+ hour, 45+ min ago (386+ words) — Change is "real, but incremental," one expert says UnitedHealthcare's (UHC) announcement Tuesday that it's removing 1,700 more procedures from its prior authorization list was met with general approval, although some experts questioned how much of a difference it would make. What's…...
Medicare Pays for Programs That May Not Help After Serious Hospitalizations
2+ mon, 2+ week ago (460+ words) Remote patient monitoring (RPM) programs after hospitalization for sepsis or lower respiratory infection -- an approach increasingly reimbursed for by Medicare -- didn't beat usual follow-up care when it came to increasing the number of days patients spent at home after discharge,…...
Immigrant Seniors Lose Medicare Coverage Despite Paying for It
4+ mon, 3+ week ago (1492+ words) OAKLAND, Calif. -- Rosa María Carranza leaned forward to hold a 3-year-old's back as the girl climbed a rock in the forested hills of northeast Oakland. Dressed in hiking gear and beaded necklaces, Carranza, 67, maneuvered between trees and children on a…...
This CMS Official Is Ready to Be 'Done Talking' About Prior Authorization
6+ mon, 4+ day ago (620+ words) WASHINGTON -- A top health official at the Centers for Medicare & Medicaid Services (CMS) hedged on payment reform, but committed to helping physicians address prior authorization challenges, during the American Medical Association's (AMA) National Advocacy Conferenceopens in a new tab or…...