1. The American Medical Association’s new president, Bruce Scott, MD, talked with Becker’s about the prior authorization reforms he is hoping to see during his term.
2. A group of U.S. lawmakers introduced legislation aimed at reforming the Medicare Advantage prior authorization process. The legislation has the backing of 389 national and state organizations, ranging from the American Hospital Association to private companies like Humana.
3. The AMA House of Delegates approved new prior authorization reform policies during its annual meeting.
4. Dual-eligible special needs plan enrollees are twice as likely to have prior authorization requests denied compared to all other Medicare Advantage members, according to KFF.
5. The Illinois General Assembly passed a pair of health insurance reform bills, which Gov. JB Pritzker indicated he will sign.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.