Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023
Almost all Medicare Advantage enrollees (99%) must obtain prior authorization for certain services, particularly higher-cost services such as inpatient hospital stays, skilled nursing facility stays, and chemotherapy. This change in approval is a significant difference from traditional Medicare, where only a limited set of services require prior authorization. Objective for prior authorization The purpose of […]
Selected Resources for Substance Use Disorder and Behavioral Health
Clinical Issues in Intensive Outpatient Treatment for Substance Use DisordersAn overview on Intensive Outpatient (IOP) treatment, this article focuses on the benefits of an IOP program that balances individualized care with other community social services to create recovery networks for patients. Resource download: Clinical Issues on IOP Using Motivational Interviewing in Substance Use Disorder TreatmentThis […]
