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Rising Prior Authorization Requests in Medicare Advantage: Trends, Challenges, and Implications
In 2024, prior authorization requests within Medicare Advantage (MA) plans increased significantly, reaching nearly 53 million compared to about 50 million in 2023, according to a report by KFF. This rise reflects growing enrollment in MA plans. On average, beneficiaries had 1.7 authorization requests per year, slightly lower than the 1.8 requests recorded the previous year. Approximately 8% of these requests were either fully or partially denied. Despite the denial rate, onl
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The Expanding Role of Community Pharmacies in Supporting Home-Based Elder Care
Local pharmacies are becoming increasingly important in supporting home-based elder care as populations age and more older adults choose to remain in their homes. Community pharmacies are uniquely positioned to meet these needs because they already serve as accessible, trusted healthcare points within local communities. Their role is expanding beyond traditional prescription dispensing to include services such as home delivery, medication synchronization, special packaging li
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New sepsis guidelines highlight early screening during transport
The updated sepsis care guidelines introduce important changes aimed at improving early detection and treatment, particularly before patients reach the hospital. For the first time since 2021, experts emphasize the importance of identifying sepsis risk during pre-hospital care, such as in ambulances or air transport. Screening patients during transport is now recommended, allowing healthcare providers to begin treatment earlier. In cases where patients show probable sepsis, l
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