States Get in on the Prior Authorization Crackdown ...Middle East

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Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients to endure their health insurers’ reviewing some medical treatments before deciding to cover them — or not. It’s a tool the plans say reins in costs and protects patients from unnecessary or ineffective medical treatment. Patients and doctors hate it. But the new Centers for Medicare

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Last updated : 15 February 2024 clock 05:53 PM

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States Get in on the Prior Authorization Crackdown ...Middle East

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