Please provide your email address to receive an email when new articles are posted on . Overall, 81.3% of patients whose care was initially denied had the claim reversed to eventually have spine ...

A new policy increased wait time for patients, but didn't speed up the move from hospital-based to outpatient-based operations. A new policy increased wait time for patients, but didn’t speed up the ...

First-of-its-kind study: Analysis finds prior authorization delays elective spine surgery without cutting costs First-of-its-kind study: Analysis finds prior authorization delays elective spine ...

Prior authorization delays and standardized codes that do not measure case variability are just two orthopedic policy disconnects surgeons say they face on a day-to-day basis. While insurance ...

Payers must continue to assess their prior authorization practices to uphold the goals of clinical quality, safety, and utilization management. Like many others, I was drawn to be a doctor because I ...

For the most part, Keyanna Jones and her husband thought they knew what to expect when their daughter Chloë had eye surgery last fall. Even Chloë, who was in kindergarten, had a good understanding of ...

In this week’s edition of InnovationRx, we look at efforts to improve prior authorization, commercializing Bell Labs’ IP portfolio, a new billionaire from Caris Life Sciences’ IPO, a big funding round ...