Author Lauren Lau Published March 6, 2021 Word count 1,121 Health Insurers and Prior Authorization Like sands through the hourglass, so are the days of prior authorization Medical Utilization Management “This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved… Read More »
It’s not just doctors, public health experts and scientists who are struggling to figure out how much of a threat the novel coronavirus poses. Like SARS and the pandemic flu before it, the newly emerged infection is presenting some unique challenges to Canada’s life insurance industry — and patients who might want to buy a… Read More »
With prior authorization posing a significant pain point for providers, several health insurers and the organization representing them are starting an initiative to improve the process. The approach will lean on information exchange technology to accelerate the often-ponderous process by which providers obtain permission and payment guarantees for prescribing care to patients. On Monday, America’s… Read More »
The FBI raided uBiome’s San Francisco office on April 25 The FBI raided the San Francisco office of health start-up uBiome on Friday, because of the questionable ways the company has billed consumers. Federal agents showed up at the office at 360 Langton Street in the South of Market neighborhood for “court-authorized law enforcement activity,” an FBI… Read More »
The three largest healthcare insurers held 80 percent of more of their market in at least 37 states, according to a report by the Government Accountability Office. The GAO studied the large group, small group and individual insurance markets. Three or fewer insurers held 80 percent or more of the market in at least 46… Read More »