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Are You Paying Attention to Prior Authorization? Your Regulators Are.

With recent CMS mandates and state-level reforms, the healthcare industry faces a pivotal moment to improve prior authorization processes, ensuring timely access to care and integrating health equity considerations....more

Medicare Advantage Organizations' Denials of Some Prior Authorization Requests Raise Concerns

In the Office of the Inspector General's latest report released in April of 2022, the denials of some prior authorization requests by Medicare Advantage Organizations (MAOs) raise concerns about beneficiary access to...more

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