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Prior Authorization Reform

Reforming Prior Auths: A Turning Point

Reforming Prior Auth: A Turning PointSeen by many as crucial to efficient healthcare delivery and timely reimbursement, prior authorization reform is gaining momentum—and providers need to be ready. Will 2025 Be the Year We Fix the Prior Authorization Delays? In the ever-evolving world of healthcare reimbursement, prior authorization delays have become one of the most […]

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Weighing-In on Weight-Loss Medications: Navigating Regulations for Ozempic and Mounjaro

Weight-loss drugs, like Ozempic and Mounjaro, are creating a buzz and offering new hope for patients struggling with obesity. Originally approved for treating type 2 diabetes, these medications have quickly gained popularity for obesity treatment and general weight loss, despite their high prices and limited insurance coverage. The once-a-week injections are so popular that pharmacies

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Brace for Impact: CMS Proposes Cut to Physician Payments

The Centers for Medicare & Medicaid Services (CMS) dropped a bombshell in July: they released their proposed rule for next year’s Medicare physician fee schedule. The big news? They’re planning to slash physician payment rates by 2.8%! Industry groups are already up in arms, insisting that physician reimbursement needs to keep pace with inflation. Here’s

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