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Prior authorization, or preauthorization, [1] is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication.
“The data provided by the companies show that, not only did insurers deny prior authorization for postacute care more often than other services, but that the rate of denial was substantially ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
People taking popular diabetes and weight loss drugs such as Novo Nordisk's Ozempic and Wegovy or Eli Lilly's Mounjaro should temporarily stop taking them before having elective surgery to avoid ...
Selling insurance products under UnitedHealthcare, and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500. [4] UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024.
Change Healthcare is a vital lynchpin in the complex U.S. system for making and clearing insurance claims, connecting providers to not just UnitedHealth but also to CVS Health's Aetna, Elevance ...
The FDA approved Mounjaro for use in the United States in 2022. [13] In July 2022, the Committee for Medicinal Products for Human Use of the European Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Mounjaro, intended for the treatment of type 2 diabetes. [48]
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