Prior Authorization Reforms: Navigating the Road Ahead
Prior authorization has been a topic of contention ever since the strategy was proposed. While it certainly has benefits for healthcare payers, providers have been pressing CMS for reforms, and rightfully so. Prior authorization is a process in healthcare where providers ask payers for permission to provide a prescribed procedure, service, or medication before they […]
Industry Pulse Report: Value-Based Payments, Interoperability, and Healthcare Accessibility
The healthcare sector is continually evolving. Just about everything can cause a ripple effect, no matter how big or small the change might seem right now. The tiniest shift, like a slight price increase on a specific drug, can mean deferred care for patients who then flood the healthcare system later, causing higher costs down […]