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Insurance companies vow to fix prior authorization process…again

Medical Economics

Key initiatives include standardizing electronic submissions, reducing claims subject to prior authorization, and ensuring continuity of care during insurance transitions. Physicians remain cautiously optimistic, recalling past commitments with limited progress, but hope for meaningful improvements in patient care.

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Doctors, patients, insurers all frustrated with prior authorization, RFK Jr. and Dr. Oz say

Medical Economics

and Dr. Oz say Author(s): Richard Payerchin Fact checked by: Todd Shryock Key Takeaways Health insurers are committed to standardizing electronic PA submissions and reducing services requiring PA by 2026. The initiative emphasizes prioritizing patient health over corporate profits, with support from healthcare professionals and patients.

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Walmart Heiress Alice Walton’s New Medical School Just Inaugurated Its First Class

Forbes Healthcare

Home Warranty Cost Best Home Appliance Insurance Best Solar Companies Best Solar Panels Cost Of Solar Panels Solar Tax Credit By State Are Solar Panels Worth It? Essentially, a heightened emphasis on performance metrics, especially those that tie volume and compensation together, has increasingly devalued patient care and holistic approaches.

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Physician Perspectives On Prior Authorization Reform

Forbes Healthcare

Many physicians believe prior authorization gets in the way of sound patient care. New reforms from the insurance industry aim to address these challenges. Will they make a difference?

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Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

adults with private health insurance between 2017 and 2019. Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

Professional Liability Trends and Implications Professional liability trends are evolving as NPs take on greater responsibility for patient care. Where NPs have reduced or restricted practice authority to provide patient care, liability is often shared with supervising physicians (Candello, 2023).

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MEDVA Awarded Healthcare Virtual Assistant Company of 2024

MedVA

MEDVA was created to solve one of healthcare’s most pressing issues: the administrative overload and staffing shortages that can divert medical staff from patient care. At MEDVA, we believe in supporting healthcare providers by eliminating the administrative burdens that detract from patient care.