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  2. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    Prior authorization is a process used by some health insurance companies in the US to determine if they will cover a prescribed procedure, service, or medication. Learn about the purpose, costs, and challenges of prior authorization, as well as the legislative and technological developments to improve it.

  3. Health First - Wikipedia

    en.wikipedia.org/wiki/Health_First

    Health First is a not-for-profit community health system that operates four hospitals in Brevard County, Florida. Learn about the history, services, and locations of Cape Canaveral, Holmes Regional, Palm Bay, and Viera hospitals.

  4. Step therapy - Wikipedia

    en.wikipedia.org/wiki/Step_therapy

    Step therapy is a type of prior authorization requirement that starts with the most cost-effective drug therapy and progresses to other more costly or risky ones only if necessary. It is used to control the costs and risks of prescription drugs, but it may have disadvantages for patients and physicians.

  5. List of COVID-19 vaccine authorizations - Wikipedia

    en.wikipedia.org/wiki/List_of_COVID-19_vaccine...

    This web page provides an overview of 40 COVID-19 vaccines that have been granted full or emergency use authorizations by various regulatory authorities. It also shows the usage status, eligibility, and suspension of each vaccine in different countries and regions.

  6. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Managed care is a system of delivering and receiving health care in the U.S. that aims to reduce costs and improve quality. It involves various techniques, such as provider networks, utilization review, and cost-sharing, and has a controversial impact on health care access and outcomes.

  7. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management (UM) is the use of managed care techniques to assess the appropriateness of health care services before they are provided. Learn about the aspects, criteria, timing, history, regulation, and appeals of UM in the United States.

  8. CoverMyMeds - Wikipedia

    en.wikipedia.org/wiki/CoverMyMeds

    CoverMyMeds is a subsidiary of McKesson that creates software to automate the prior authorization process used by some health insurance companies in the US. Founded in 2008, it has offices in Ohio and over 500,000 prescribers using its software.

  9. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    A National Provider Identifier (NPI) is a unique 10-digit number issued to health care providers in the US by CMS. Learn about the mandated and optional uses, signup process, identifier details, and open data set of NPI.

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