Nearly 3.4 million people have signed up for ACA coverage since the open enrollment period began Nov. 1, or a 17 percent increase in enrollment since last year.
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Providers using EHRs that aren't enabled for electronic prior authorization and the cost to upgrade to EHRs that have that capability are the main barriers preventing automated PA, according to a Nov. 14 America's Health Insurance Plans survey.
Providence Health Plan has named Morgan Ratcliffe as executive director, chief communications officer, effective Nov. 20.
Humana completed its public offering of $1.25 billion in senior notes, the payer said Nov. 22.
BlueCross BlueShield of Tennessee has named Jenni Bradley the senior director of strategy and planning in its provider network management division, chattanoogan.com reported Nov. 22.
UnitedHealthcare and Renton, Wash.-based Providence Health have reached a multi-year deal to keep nearly 3 million beneficiaries in-network with the health system's physicians and facilities in California, the Eureka Times-Standard reported Nov. 22.
The magazine WomenInc. named three payer executives among its 118 most influential women in corporate America.
"Gold card" programs that give providers exemptions from certain prior authorization requirements have received mixed reviews from payers, according to a Nov. 14 America's Health Insurance Plans survey.
Sen. Bernie Sanders' office said Nov. 17 that he is looking to become chair of the Senate's Health, Education, Labor and Pensions Committee, according to The Hill.
Genetic testing, specialty drugs and high-tech imaging are some of the most common treatments that require prior authorization, according to a Nov. 14 survey from AHIP.