By Mary Beth Donahue Recently an HHS Office of Inspector General (OIG) report and accompanying New York Times article raised questions about the use of prior authorization in Medicare Advantage. While there are over 28.5…

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By Mary Beth Donahue Recently an HHS Office of Inspector General (OIG) report and accompanying New York Times article raised questions about the use of prior authorization in Medicare Advantage. While there are over 28.5…
by Mary Beth Donahue and Andrew MacPherson A few months ago, you would be forgiven for thinking that an EGWP (pronounced “egg whip”) is a breakfast dish, rather than a valued health coverage option. But,…
By Mary Beth Donahue The Centers for Disease Control and Prevention (CDC) states it plainly: “racial and ethnic minority groups, throughout the United States, experience higher rates of illness and death … when compared to…
by Mary Beth Donahue A recent Kaiser Health News article parroted a series of salacious claims on Medicare Advantage spending. “Critics have argued for years that Medicare Advantage costs taxpayers too much,” the article reports.…
By Allyson Y. Schwartz Picture this: a global pandemic when doctors and health care personnel are most critical – yet doctors’ offices were shuttered and access to care was limited and uncertain. We don’t have…
By Jane Cheshire Gilbert, CPA Ask any parent of school-aged children and they’ll be quick to tell you – the COVID-19 pandemic has instilled in them a newfound respect for the role of teachers. I…