Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to nix prior authorization requirements in Medicare, Medicare ...

FedRAMP Director Pete Waterman recently unveiled the “FedRAMP 20x” plan – a proposal designed to reimagine and reformulate ...

The PBM says the payment model more closely aligns with the costs pharmacies often face due to "manufacturer pricing actions." ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

But the price you pay with insurance will also depend on: your specific plan benefits any prior authorization requirements you have for drug coverage To learn more about what you’d pay for ...

UnitedHealthcare has notified providers that it will eliminate prior authorizations for home health services managed by Optum Home & Community (formerly NaviHealth). The change, which applies to ...

UnitedHealthcare is eliminating prior authorization requirements for certain home health services provided under Medicare Advantage plans as part of a larger push to cut prior authorization volume by ...

But the price you pay with insurance will also depend on: your specific plan benefits any prior authorization requirements you have for drug coverage To learn more about what you’d pay for ...