Surgery
Sign here? Financial agreements may leave doctors in the driver's seat
Cass Smith-Collins jumped through hoops to get the surgery that would match his chest to his gender.
May 10, 2024
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Page 2 - News tagged with prior authorization
Oncology & Cancer
Prior authorization costs radiation oncology clinics more than $40 million each year, study estimates
The time required to secure prior authorization approvals for radiation therapy treatments equates to a financial impact of more than $40 million annually for academic medical centers, according to a new study. Findings will ...
Oct 25, 2021
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Oncology & Cancer
Cancer patients face frightening delays in treatment approvals
Marine Corps veteran Ron Winters clearly recalls his doctor's sobering assessment of his bladder cancer diagnosis in August 2022.
Jan 4, 2024
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Medications
Study finds that Medicare Part D plans increased restrictions on drug coverage
Medicare Part D plans significantly increased restrictions on prescription drugs, excluding more compounds from coverage or subjecting more of them to review before patients could access the treatments, according to a new ...
Mar 4, 2024
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Oncology & Cancer
Preapproval requirement for oral anticancer drugs may interfere with treatment
The use of prior authorizations by insurance companies for certain oral cancer drugs can lead to significant delays in patients' obtaining the medication and make it more likely that some would discontinue the drug, according ...
Dec 13, 2023
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Addiction
Study examines insurance barriers to access opioid addiction medication
In 2021, more people died from opioid overdoses in the U.S. than any other year in history, according to data from the U.S. Centers for Disease Control and Prevention.
Jul 13, 2023
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Health
States target health insurers' 'prior authorization' red tape
Christopher Marks noticed an immediate improvement when his doctor prescribed him the type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his average blood sugar reading ...
Feb 15, 2024
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Health
States want to make it harder for health insurers to deny care, but firms might evade enforcement
For decades, Amina Tollin struggled with mysterious, debilitating pain that radiated throughout her body. A few years ago, when a doctor finally diagnosed her with polyneuropathy, a chronic nerve condition, she had begun ...
Apr 18, 2024
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Health
Medical practices burdened by regulatory requirements
(HealthDay)—The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group ...
Nov 6, 2019
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Medical economics
Gaps by race, ethnicity exist in health care quality under traditional Medicare, Medicare Advantage plans
Medicare Advantage (MA) is an increasingly popular source of Medicare coverage for all recipients, including individuals from racial and ethnic minority groups. Certain managed care strategies used in MA—such as prior authorization, ...
May 29, 2024
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