Author: Andrew Cass

Independence Blue Cross and Philadelphia-based Penn Medicine are piloting a program that allows qualifying physicians to skip prior authorization approvals needed for ultrasounds, CT scans and PET scans. 

Humana's plan to purchase Wisconsin-based managed care company Inclusa has passed state reviews, the Wisconsin State Journal reported May 11. 

Nearly 90 prior authorization reform bills have been introduced in 30 state legislatures this year, according to the American Medical Association. 

Preliminary results show Centene shareholders rejected a pair of proposals that took aim at executive pay, the St. Louis Business Journal reported May 10. 

Friday Health Plans will not accept new health plan enrollments in Colorado for the remainder of 2023 after an agreement was reached with the Colorado Division of Insurance. 

Virginia Premier will move its 300,000 Medicaid members to Optima Health on July 1.

Baton Rouge (La.) General has reached an agreement on a new contract with Cigna but remains out of network with Aetna, The Advocate reported May 9. 

From Google Cloud launching an artificial intelligence-powered claims acceleration suite to CMS issuing a final rule to streaming the Medicare Advantage prior authorization process, here are eight prior authorization updates Becker's reported since April 6: 

EHR vendor Athenahealth named George Hamilton chief corporate strategy and development officer. 

Medicare Advantage enrollment now represents half of total Medicare enrollment, according to a May 1 analysis from the Kaiser Family Foundation.