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Pulled in Two Directions: Providers Pursuing Coordinated Care Confused by Antitrust Actions
The healthcare reform law encourages providers to create larger organizations that can coordinate care in pursuit of greater quality and efficiency. Yet the Federal Trade Commission is pursuing traditional antitrust enforcement, cracking down on mergers and acquisitions that lead to excessive concentration in individual markets.
The result, FTC lawyers say, is the creation of larger systems in some markets that threaten to deliver higher prices to patients.
Read the full story at: http://bit.ly/R1We72
Source: ModernHealthcare.com
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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10 Years of Coverage Gains Threatened by Proposed Federal Policy Changes, Report Finds
June 18th 2025The country has seen historic reductions in uninsured rates and improvements in affordability since the implementation of the Affordable Care Act, the Commonwealth Fund scorecard shows.
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