A study titled “Prior Authorization for Elective Diagnostic Catheterization: The Value of Reviewers in Cases with Clinical Ambiguity” was published in the June 2018 issue of American Health & Drug Benefits. The study’s lead author, Adam C. Powell, Ph.D., and his team sought to identify the outcomes of HealthHelp’s two-step approach to evaluating the appropriateness of elective diagnostic catheterization orders. The research was conducted in conjunction with Humana, as a part of the ongoing research alliance between the two organizations. The study analyzed elective diagnostic catheterization orders placed in 2015 for patients with Humana Medicare Advantage health plans. ...
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