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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 ...
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The University of Pittsburgh Medical Center (UPMC) is a $21 billion integrated global nonprofit health enterprise that has 89,000 employees, 40 hospitals with more than 8,000 licensed beds, 700 clinical locations including outpatient sites and doctors' offices, a 3.7 million-member health insurance division, as well as commercial and international ventures. [1]
UPMC Chautauqua, located in Jamestown, New York, is a 317-bed hospital that was originally charted in 1885. [116] It is the only domestic hospital located outside of Pennsylvania to become part of the UPMC system. [32] UPMC East, a $250 million full-service, 155-bed hospital that opened in Monroeville, Pennsylvania, in July, 2012. [117]
UPMC St. Margaret is a mid-sized, acute care, teaching community hospital of the University of Pittsburgh Medical Center, located in the Lincoln–Lemington–Belmar neighborhood of Pittsburgh, Pennsylvania, adjacent to the borough of Aspinwall. Situated on 21 acres (8.5 ha), the hospital has 249 beds with more than 800 physicians and 1,500 ...
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UPMC Shadyside is a part of the University of Pittsburgh Medical Center (UPMC), and grouped in with the flagship UPMC Presbyterian. The hospital is near UPMC's flagship campus which houses Presbyterian and Montefiore. As the hospital is a teaching hospital, it is affiliated with University of Pittsburgh School of Medicine. [1]
Even for doctors trained in addiction medicine — motivated to treat opioid addicts with buprenorphine and able to work within Medicaid’s numerical limits — there are still roadblocks. Kentucky’s Medicaid program, like those of many other states, requires prior authorization before it agrees to pay for the medication.
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