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Bill would revamp Medicare Advantage prior authorization


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Congress is eying changes to Medicare Advantage that would crack down on prior authorization tactics insurers use to rein in healthcare costs but can affect how providers care for patients.
Rep. Susan DelBene (D-Wash.), Mike Kelly (R-Pa.), Ami Bera (D-Calif.) and Larry Bucshon (R-Ind.) reintroduced a bill Thursday that aims to quicken the prior authorization process and require more transparency about how often plans deny providers requests. Healthcare lobbyists believe the proposal could see movement this year.
This continues to be a thorn in the side of our practices. It is such an administrative burden, said Drew Voytal, associate director of government affairs for the Medical Group Management Association. ....

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Global Health Crisis Shines Light on the Future of the Telehealth Industry


Global Health Crisis Shines Light on the Future of the Telehealth Industry
- FinancialBuzz.com News Commentary
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NEW YORK, Feb. 18, 2021 /PRNewswire/  With the pandemic continuing to spread throughout the United States and the world, the need for alternative healthcare options is becoming increasingly clear. Since a state of emergency was declared in March 2020, virtual healthcare visits have increased dramatically, rising by 2,938% between November 2019 and November 2020, according to
data published in the American Journal of Managed Care. While many health plans had already been investing heavily in telehealth infrastructure prior to the pandemic, COVID-19 has been a tremendous adoption accelerator, said Connie Hwang, MD, MPH, Chief Medical Officer and Director of Clinical Innovation at the Alliance of Community Health Plans. Mind Medicine (MindMed) Inc. (OTC: MMEDF) (NEO: MMED), Teladoc Health, Inc. (NYSE: TDOC), 1L ....

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