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In the Office of the Inspector General's latest report released in April of 2022, the denials of some prior authorization requests by...
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The ongoing topic of price transparency in healthcare continues as a study by Health Affairs showed that only 65 of the country’s 100...
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It is inevitable that the Biden administration would review and make changes to the Part D drug pricing agenda set forth by the Trump...
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Health plans must prepare for an influx of COVID-19 claims as this pandemic evolves. While the sheer volume of claims may not vary in the...
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On January 31, 2020, the Secretary of Health and Human Services (HHS) declared a public health emergency under section 319 of the Public...
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On February 22, 2019, Centers for Medicare and Medicaid Services (CMS) released the final Parts C and D Enrollee Grievance,...

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