Former Humana CEO and president Bruce Broussard will be joining VC firm Define Ventures as a venture partner, Fortune can ...

LAS VEGAS — Blue Shield of California and Salesforce, a cloud-based customer relation management company, announced a partnership on Monday that aims to cut down the prior authorization process ...

The insurer billed the tool as way to alleviate provider and patient frustration with the prior authorization process ... insurers — UnitedHealthcare, Humana and CVS — use predictive ...

Esperion Therapeutics' aggressive commercialization efforts have significantly boosted retail prescriptions and broadened ...

I’m putting this first because everyone who has any form of Medicare needs to check ... or 7.4% of 46 million prior authorization requests in 2022, according to the latest figures from JAMA.

Q3 2024 Earnings Call Transcript November 9, 2024 Operator: Welcome to the Evolent Earnings Conference Call for the Third ...

and said the panel failed to take into account Humana's response pointing out errors. The report acknowledged that regulators collect data on Medicare Advantage plans' use of prior authorization ...

4. From 2019 and 2022, UnitedHealthcare, Humana, and CVS Health each denied prior authorization requests for post-acute care at far higher rates than they did for other types of care, resulting in ...

It outlines attempts from UnitedHealthcare, CVS and Humana—which collectively cover nearly 60% of all MA enrollees—to use technology to reject prior authorization claims, all while reaping profit.

Humana, and CVS. "This date range aligned with increases in concern from patients and providers that prior authorization was threatening seniors' well-being and the viability of medical practices ...

The subcommittee found that, between 2019 and 2022, UnitedHealthcare, Humana, and CVS each denied prior authorization requests for post-acute care “at far higher rates than they did for other ...