Bills taking aim at ‘government mandates’ on health insurance could hamper prior authorization reforms

The proposed legislation defines health benefit mandates as certain regulations on health insurance plans, including things like requiring coverage for hearing aids and prescription contraceptive ... Read More

Health plans and providers need to work together on prior authorization

In Massachusetts, health plans are required by state law to collaborate with physicians to develop medical necessity guidelines used for prior authorization. Not only would abandoning prior ... Read More

Prior authorization is a scam. I know because I helped create it.

Health insurance deny-and-delay practices block access to needed care and shift costs to patients and providers, while increasing insurance company profits. Prior authorization for medical care ... Read More

Reform or ban? Prior authorization for health insurance is under negotiation in NC

Prior authorization ... insurance company profits over patient lives,” the NCMS said in a news release. Peter Daniel, executive director of the North Carolina Association of Health Plans ... Read More