Medicare value-based care efforts are crucial for moving forward value-based care in the healthcare industry overall. In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of 2021 which seeks to bolster Medicare […]
The Supreme Court’s decision in California v Texas ended one lawsuit against the Affordable Care Act but may have left room for future legal action. Since the Supreme Court dismissed California v Texas on June 17, payers and healthcare leaders have vocalized their support for the decision, their readiness to continue building on the Affordable […]
Most physicians still faced a high prior authorization burden despite treating a surge of positive COVID-19 cases this winter, the American Medical Association (AMA) reports. In a survey of 1,000 practicing physicians between Nov. 23, 2020, and Dec. 14, 2020, AMA found that 85 percent of physicians described the burden associated with prior authorization as high […]
Electronic Prior Authorization can have a positive impact for both physicians and patients. America’s Health Insurance Plans (AHIP) published a news release stating that an analysis of the E-prior authorization process found that it was able to significantly reduce the time between a request for authorization and a decision and the time between the decision […]