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Prior authorization is a common cost-cutting tool used by health insurers, but patients say it creates hurdles that delay or deny access to care. Doctors and patients try to shame insurers online ...
Overview. 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. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a ...
A prior authorization request, for instance, may have included 10 therapy sessions, but only five were approved, the researchers found. Still, “people who go through that appeals process are ...
The George W. Bush administration began actively pressing for military intervention in Iraq in late 2001. The primary rationalization for the Iraq War was articulated by a joint resolution of the United States Congress known as the Iraq Resolution. The United States intent was to "disarm Iraq of weapons of mass destruction, to end Saddam ...
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.
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Patterson v. Colorado, 205 U.S. 454 (1907), was a First Amendment case. Before 1919, the primary legal test used in the United States to determine if speech could be criminalized was the bad tendency test. [1] Rooted in English common law, the test permitted speech to be outlawed if it had a tendency to harm public welfare. [1]
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