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  2. Medicare Access and CHIP Reauthorization Act of 2015

    en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

    Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.

  3. Authorization bill - Wikipedia

    en.wikipedia.org/wiki/Authorization_bill

    An authorization bill is a type of legislation used in the United States to authorize the activities of the various agencies and programs that are part of the federal government of the United States. Authorizing such programs is one of the powers of the United States Congress .

  4. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [2] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...

  5. Oklahoma bill would make medical care requiring prior ... - AOL

    www.aol.com/oklahoma-bill-medical-care-requiring...

    The bill defines prior authorization as “the process by which utilization review entities determine the medical necessity and medical appropriateness of otherwise covered health care services ...

  6. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.

  7. Emergency Use Authorization - Wikipedia

    en.wikipedia.org/wiki/Emergency_Use_Authorization

    An Emergency Use Authorization (EUA) in the United States is an authorization granted to the Food and Drug Administration (FDA) under sections of the Federal Food, Drug, and Cosmetic Act as added to and amended by various Acts of Congress, including by the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA), as codified by 21 U.S.C. § 360bbb-3, to allow the use of a ...

  8. Cigna removes pre-authorization requirement for 25% of ... - AOL

    www.aol.com/news/cigna-removes-pre-authorization...

    The prior authorization, or pre-certification process, requires healthcare providers to get coverage approval for certain non-emergency procedures. ... chief medical officer of Cigna Healthcare ...

  9. Pandemic and All-Hazards Preparedness Reauthorization Act of ...

    en.wikipedia.org/wiki/Pandemic_and_All-Hazards...

    The Act clarifies the authority of different American officials, makes it easier to temporarily reassign personnel to respond to emergency situations, and alters the process for testing and producing medical countermeasures. The Act is focused on improving preparedness for any public health emergency.