Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

The Milwaukee Bucks traded Khris Middleton to the Washington Wizards, receiving Kyle Kuzma in return. Contrary to ...

Real world data (RWD), which is data from actual patient treatments, provides valuable information on safety and effectiveness of innovative ...

It has been two years since President Obama signed the Affordable Care Act (ACA), and even though it won’t be fully implemented until 2014, millions of Americans and Minnesotans are already enjoying ...

Nephrocaps is a dietary supplement, and Medicare does not typically cover supplements, vitamins, and minerals. Read more here ...

Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For ...

And according to an analysis of federal health care data by Value Penguin, of all of the major health insurance companies, ...

Benchmarks are vital tools for anyone running a business. Taking it a step further, benchmarking summaries are vital resources for anyone wanting to run their business well into the future.

An expanding prohibition on third-party financial guarantees could lead to more nursing home using lawsuits to collect unpaid ...

There are millions of Americans who rely on Medicare for health coverage. And if you're retiring this year, you may be ...

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

The Affordable Care Act (ACA) set out to make healthcare more affordable. It had various effects on Medicare, such as ...