Our state’s patient advocates and health care providers are committed to ensuring all North Dakotans have access to high-quality, medically necessary health care when they need it most. This includes ...

The HIPAA Privacy Rule sets forth provisions related to the waiver or alteration of authorization in relation to clinical research studies for circumstances in which ...

Prior authorization will become less of a hassle for physicians in Blue Cross Blue Shield of Michigan’s network, BCBSM officials hope, as they roll out an effort to relax about 20% of prior ...

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to ...

Commercial insurers and state governments are implementing new guidelines that will change prior authorization requirements for patients being transferred to long-term care hospitals or rehabilitation ...