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HealthCare Strategies

(2 days ago) WEBLearn More. Founded by clinicians to improve health in communities across the nation, HCS has served: self-insured employers • TPAs • health plans • regional providers. for more than four decades. Results with HCS: Earlier intervention. Better outcomes. Lower …

https://www.hcare.net/

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Utilization Management: Here’s What You Need to Know

(5 days ago) WEBPrior authorizations (PAs or prior auths) are among the most common and burdensome cost management tools, requiring providers to obtain approval before …

https://www.priorauthtraining.org/utilization-management-heres-what-you-need-to-know/

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Online Access - HealthCare Strategies

(5 days ago) WEBOnline Access. Personal Health NavigatorMembers Only. Pre-populated online Personal Health Record (PHR) Client Online ServicesClients Only. Access invoices, reports, …

https://www.hcare.net/OnlineAccess/

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Prior Authorization and Utilization Management Concepts in …

(4 days ago) WEBFormularies that Include prior authorization and utilization management are widely used by managed care organizations (MCOs), Including health plans and …

https://www.jmcp.org/doi/full/10.18553/jmcp.2019.19069

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IMPACTS OF PRIOR AUTHORIZATION ON HEALTH CARE …

(3 days ago) WEBPrior authorization – also known as precertification, preauthorization, prior approval, prior notification, prospective review, and prior review – requires health care providers to …

https://www.nihcr.org/wp-content/uploads/Altarum-Prior-Authorization-Review-November-2019.pdf

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Streamlining and Reimagining Prior Authorization Under Value …

(3 days ago) WEBAfter decades of progress, there is a renewed need to improve the quality of cardiovascular care due to slipping cardiovascular health outcomes. 1–3 Utilization management …

https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.120.006564

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Utilization Management - StatPearls - NCBI Bookshelf

(5 days ago) WEBUtilization Management (UM), initially referred to as Utilization Review (UR), remains a well-recognized component of a cost management approach in the health …

https://www.ncbi.nlm.nih.gov/books/NBK560806/

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Who We Are - HealthCare Strategies

(8 days ago) WEBHealthCare Strategies. HealthCare Strategies is an innovative leader in healthcare management. We provide solid support combined with high-quality care. Since 1982, we …

https://www.hcare.net/About/

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Perspective: Streamlining Prior Authorization Requirements to …

(3 days ago) WEBWe have signaled our strong support for bipartisan legislation — the Improving Seniors’ Timely Access to Care Act of 2021 — introduced in the Senate this …

https://www.aha.org/news/perspective/2021-10-22-perspective-streamlining-prior-authorization-requirements-improve

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Now it’s up to Congress to act on prior authorization reform

(3 days ago) WEBPrior authorization is a health plan utilization-management or cost-control process that requires physicians to obtain approval before a prescribed treatment, test …

https://www.ama-assn.org/practice-management/prior-authorization/now-it-s-congress-act-prior-authorization-reform

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4 tips for simplifying prior authorizations HFMA

(9 days ago) WEBHealthcare spending in the U.S. has reached what many consider to be unsustainable levels. While spending in other developed nations averaged 8.8% of GDP …

https://www.hfma.org/revenue-cycle/4-tips-for-simplifying-prior-authorizations/

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Streamlining the prior authorization process for a better health …

(5 days ago) WEBStarting in Q3 2023, UnitedHealthcare will eliminate nearly 20% of current prior authorizations for common procedures or prescriptions.

https://www.uhc.com/employer/news-strategies/streamlining-the-prior-authorization-process-for-a-better-health-care-experience

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Healthcare Strategies

(9 days ago) WEBHealthCare Strategies (HCS) is a home health and hospice support agency, providing EMR back office and point of care software, outsourcing for billing and collections and …

https://www.hcstrategies.com/

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How electronic prior authorization can help health care EY - US

(7 days ago) WEBCurrent prior authorization (PA) processes are time- and labor-intensive. Advanced technology can help, but adoption has been low. Automating PA processes may accelerate decision-making and improve access to patient care. It’s also a requirement of legislation being considered. Successful automation of PAs requires health care …

https://www.ey.com/en_us/health/ey-health-technology-services/how-electronic-prior-authorization-can-help-health-care

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13 Areas to Improve Electronic Prior Authorization - Health IT Buzz

(2 days ago) WEBIn January 2022, ONC issued a Request for Information (RFI) that sought public input on the ONC Health IT Certification Program and how it could incorporate …

https://www.healthit.gov/buzz-blog/interoperability/13-areas-to-improve-electronic-prior-authorization

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Benefits of Prior Authorizations Journal of Managed Care

(7 days ago) WEBPrior authorization is one of the most common drug utilization management tools in the U.S. health care system. The intent of prior authorizations is to ensure that …

https://www.jmcp.org/doi/full/10.18553/jmcp.2020.26.7.820

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Current Policies for Prior Authorization: Why They’re Likely …

(7 days ago) WEBWhy are policies for prior authorization changing in 2023? Prior authorization can be a significant barrier to receiving care. According to a 2021 …

https://www.mdclarity.com/blog/current-policies-prior-authorization

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Expanding Medicaid Access to Continuous Glucose Monitors

(4 days ago) WEBContinuous glucose monitors (CGMs) are the standard of care for treating people with type 1 diabetes and people with type 2 diabetes on insulin pumps or multiple daily insulin …

https://www.chcs.org/media/Expanding-Medicaid-Access-to-Continuous-Glucose-Monitors_011222.pdf

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What Utilization Management Strategies Do Payers Use to Lower …

(2 days ago) WEBAlso called preauthorization or precertification, prior authorization requires patients to receive approval for a service or medication from their health plan before …

https://healthpayerintelligence.com/features/what-utilization-management-strategies-do-payers-use-to-lower-costs

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Frequently Asked Questions About the Health Care Proxy HSS

(1 days ago) WEBA health care proxy is a document that allows you to appoint another person (s) as your health care agent to make health care decisions on your behalf if you are no longer …

https://www.hss.edu/health-care-proxy.asp

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HIPAA Privacy Rule Final Rule to Support Reproductive Health …

(1 days ago) WEBThis Final Rule is one of many actions taken by HHS to protect access to and privacy of reproductive health care after the Supreme Court’s decision in Dobbs v. …

https://www.hhs.gov/hipaa/for-professionals/special-topics/reproductive-health/final-rule-fact-sheet/index.html

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go to …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Utilization Management Strategies - Optum

(1 days ago) WEBUtilization Management Strategies Prior Authorization OptumRx recommends pre-approval for certain medications before they are covered. This process, known as Prior …

https://cdn-aem.optum.com/content/dam/optum3/optum/en/resources/fact-sheets/utilization-management-strategies-optumrx.pdf

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U.S. GOVERNMENT GLOBAL HEALTH SECURITY STRATEGY …

(6 days ago) WEBThe COVID-19 pandemic had—and continues to have—a profound impact on our Nation and the world. More than one million Americans have lost their lives and …

https://www.whitehouse.gov/wp-content/uploads/2024/04/Global-Health-Security-Strategy-2024-1.pdf

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Physicians struggle to keep practices afloat after Change cyberattack

(9 days ago) WEBCHICAGO – The American Medical Association (AMA) today released informal survey findings (PDF) showing the ongoing, devastating impact of the Change …

https://www.ama-assn.org/press-center/press-releases/physicians-struggle-keep-practices-afloat-after-change-cyberattack

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Autism Healthcare Collaborative

(5 days ago) WEBAutism Healthcare Collaborative. 16 Mt. Bethel Road. PO Box 321. Warren, NJ 07059. Phone: (732) 667-7778. Fax: (732) 667-7780. Click Here. Autism Healthcare …

https://www.autismhc.org/

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The Pulse from UnitedHealthcare: Health Plan CEO discusses the …

(6 days ago) WEBValue-based care has the power to deliver better health outcomes and experiences, along with reduced costs.

https://www.uhc.com/employer/news-strategies/blog-future-of-value-based-care

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Examining New Medicaid Resources to Expand School-Based - KFF

(9 days ago) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/mental-health/issue-brief/examining-new-medicaid-resources-to-expand-school-based-behavioral-health-services/

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBhealth care professionals to submit claims electronically. We utilize the TriZetto Provider Solutions (TTPS) Direct Data Entry Authorizations, and Care Management Provider Services Medicaid: 1-800-682-9091 DDD: 1-800-682-9091 MLTSS: 1-855-777-0123 FIDE-SNP: 1-855-955-5590

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Working Together to Advance Health and Build a Better Future

(3 days ago) WEBApr 19, 2024 - 04:08 PM by. Rick Pollack, President and CEO, AHA. Stand up. Speak out. Be heard. The stakes for the future of health care are too high to do …

https://www.aha.org/news/perspective/2024-04-19-working-together-advance-health-and-build-better-future

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Medicare stumbles managing a costly problem — chronic illness

(9 days ago) WEBThose taking Wegovy could face out-of-pocket expenses ranging from $325 to $430 if they have to pay a percentage of the drug’s $1,300 list price for a monthly …

https://www.washingtonpost.com/politics/2024/04/24/medicare-stumbles-managing-costly-problem-chronic-illness/

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Plaza Travel & Insurance Services, Ltd Robert J Auth Agency, Inc

(9 days ago) WEBPlaza Travel & Insurance Services, Ltd Robert J Auth Agency, Inc, North Bergen, New Jersey. 430 likes · 2 were here. At Plaza Travel & Insurance, we search worldwide to …

https://www.facebook.com/PlazaTravelAndInsurance/

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Women’s health Q&A with 5 women health care executives

(7 days ago) WEBHealth care is shifting its approach to women’s health*. Who better to explain what’s driving that change than women executives working in the industry. . . . .

https://www.uhc.com/agents-brokers/employer-sponsored-plans/news-strategies/womens-health-q-and-a

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5 Strategies for Improving Mental Health at Work - Harvard …

(2 days ago) WEB5 Strategies for Improving Mental Health at Work. by. Morra Aarons-Mele. April 18, 2024, Updated April 24, 2024. Xin He/Getty Images. Summary. Companies are …

https://hbr.org/2024/04/5-strategies-for-improving-mental-health-at-work

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