Medtech industry, surgeons push Medicare to pull back prior authorization rules

CMS breakthrough rule cheered as tailwind for Abbott, J&J and Medtronic

Dive Brief: The Medical Device Manufacturers Association has joined 39 other healthcare stakeholders in voicing their strong opposition to an expansion of Medicare prior authorization requirements set to go into effect July 1.  MDMA and a broad coalition of surgeon

Read More Medtech industry, surgeons push Medicare to pull back prior authorization rules

Doctors say prior authorization led to life-threatening delays in care

People of color bear COVID-19's economic brunt

While providers expected insurers to relax prior authorization policies during the pandemic, 70% of surveyed physicians reported the changes were brief, if made at all, and did not relieve some of their burdens.   Slow prior authorization protocols contributed to

Read More Doctors say prior authorization led to life-threatening delays in care

How to Navigate Prior Authorization

How to Navigate Prior Authorization

One reason for Americans’ low trust in health insurance companies may be one of the industry’s most frustrating practices: prior authorization requirements.Prior authorization (PA) — also called preapproval, prior approval, preauthorization or precertification — is the process health plans use

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Prior Authorization Doesn’t Have to Be a Barrier to Care

Prior Authorization Doesn’t Have to Be a Barrier to Care

Even after menopause, Gail Weiss had severe endometriosis that caused her excruciating pain. Weiss researched her options and found a surgeon out of state who performed specialized excision surgery. Her insurance company would only pay for a more standard surgery

Read More Prior Authorization Doesn’t Have to Be a Barrier to Care

FDA panel backs J&J’s coronavirus vaccine, clearing way for shot’s authorization

FDA panel backs J&J's coronavirus vaccine, clearing way for shot's authorization

A group of advisers to the Food and Drug Administration gave unanimous support for Johnson & Johnson’s single-shot coronavirus vaccine on Friday, setting up a decision from the agency on emergency authorization as soon as Saturday.  The committee, composed of

Read More FDA panel backs J&J’s coronavirus vaccine, clearing way for shot’s authorization

First daytime treatment for obstructive sleep apnea receives De Novo authorization

First daytime treatment for obstructive sleep apnea receives De Novo authorization

The FDA has granted De Novo authorization to what will be the first device treatment for obstructive sleep apnea (OSA) that is used while the patient is awake. Called eXciteOSA, the prescription tongue muscle stimulation device is intended for those

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Johnson & Johnson asks U.S. FDA for emergency authorization of its COVID-19 vaccine – National

Johnson & Johnson asks U.S. FDA for emergency authorization of its COVID-19 vaccine - National

Feb 4 (Reuters) — Johnson & Johnson said on Thursday it has asked U.S. health regulators to authorize its single-dose COVID-19 vaccine for emergency use.The drugmaker’s application to the U.S. Food and Drug Administration (FDA) follows its Jan. 29

Read More Johnson & Johnson asks U.S. FDA for emergency authorization of its COVID-19 vaccine – National

Cigna eliminates prior authorization for coronary CT scans

Cigna eliminates prior authorization for coronary CT scans

Cigna will no longer require prior authorization for some CT scans of the heart, a move that providers said will relieve administrative burdens among physicians and result in better outcomes for patients. On Feb. 1, Cigna will end prior authorizations

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CMS finalizes prior authorization rule payers slam as ‘half-baked’

CMS finalizes prior authorization rule payers slam as 'half-baked'

Dive Brief: CMS has finalized a sweeping rule revamping electronic prior authorization, a scant month from first proposing it as the Trump administration hustles to codify its health agenda before the inauguration of President-elect Joe Biden on Wednesday. The rule

Read More CMS finalizes prior authorization rule payers slam as ‘half-baked’

Not enough time, not enough clarity: Payers push back on CMS prior authorization rule

CMS expands Medicare emergency telehealth coverage with 11 new services

Payer groups on Monday slammed a CMS proposed rule to streamline the prior authorization process, arguing the comment period was unreasonably and perhaps illegally short, the effective dates were unrealistic and the rule heaps further burden on a health system

Read More Not enough time, not enough clarity: Payers push back on CMS prior authorization rule