The effectiveness of mediation as a primary tool to resolve pharmaceutical service denials by managed care is discussed. A three-month prospective randomized trial of 48 medical appeal cases involving ...

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...

PHOENIX — Twelve percent of applicants for publicly funded adult-education classes in Arizona were denied admission into basic English, reading and other courses because they couldn't prove they were ...

—A recent study investigating factors affecting VA service connection denial for PTSD claims related to military sexual trauma found that citing sexual harassment were more likely to be denied than ...

In a groundbreaking move, the Centers for Medicare and Medicaid Services (CMS) will introduce artificial intelligence (AI) into Medicare's prior authorization process starting January 2026. This pilot ...