As public and political pressure has risen against prior authorization, insurers are scaling back use of the policy and are openly reforming the process.
Back in February, the American Medical Association (AMA) led 118 other medical organizations to write a letter to the Centers for Medicare and Medicaid Services, specifically...
The AHCCCS managed care organization (MCO) didn't meet a deadline for correcting problems in its provider migration project and adjudicating claims. AHCCCS also discovered the Centene-owned insurer had made $8 million in overpayments impacting 1,600 providers across more than 2 million claims.
AHCCCS stated it recognizes the...
