by Adaobi Ezeokoli | Jan 24, 2024 | Health Law & Policy, Commentary
Prior authorization – the requirement that a provider justify the clinical need for a particular service before a plan will cover it – has long been a contentious topic. Plans argue the practice is needed to prevent inappropriate use of services and to save the health...
by Adaobi Ezeokoli | Nov 27, 2023
On November 16, 2023, the Centers for Medicare & Medicaid Services (CMS) released new guidance detailing the coverage pathways for services and supports to address health-related social needs (HRSN) services, such as housing and nutrition interventions, in...
by Adaobi Ezeokoli | Nov 16, 2023 | Health Law & Policy, Commentary
On November 16, 2023, the Centers for Medicare & Medicaid Services (CMS) released new guidance detailing the coverage pathways for services and supports to address health-related social needs (HRSN) services, such as housing and nutrition interventions, in...
