Dorothy DeAngelis

Ankura

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Latest Posts › Centers for Medicare & Medicaid Services (CMS)

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Are You Paying Attention to Prior Authorization? Your Regulators Are.

With recent CMS mandates and state-level reforms, the healthcare industry faces a pivotal moment to improve prior authorization processes, ensuring timely access to care and integrating health equity considerations....more

8/23/2024 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Medicare Advantage , Medicare Part D , Prior Authorization , Regulatory Agencies

Bringing Innovation to Healthcare Compliance and Disputes with Dorothy DeAngelis

"Diverse Perspectives, Results Delivered comes to mind when I think about our team here at Ankura. It's how we operate every day. From the makeup of our team to the way we collaborate with clients, we are constantly striving...more

11/21/2022 / C-Suite Executives , Centers for Medicare & Medicaid Services (CMS) , Compliance , Diversity , Government Agencies , Health Plan Sponsors , Healthcare , Investigations , Medicare Advantage , Pharmacies , Sanctions , World Health Organization

Medicare Advantage Organizations' Denials of Some Prior Authorization Requests Raise Concerns

In the Office of the Inspector General's latest report released in April of 2022, the denials of some prior authorization requests by Medicare Advantage Organizations (MAOs) raise concerns about beneficiary access to...more

8/8/2022 / Audits , Centers for Medicare & Medicaid Services (CMS) , Denial of Insurance Coverage , Medicare Advantage , Medicare Advantage Organizations (MAOs) , OIG , Prior Authorization , Proposed Guidance

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