5 prior authorization updates

From two states passing reform laws to an Oregon health system making prior authorization 'a thing of the past' for cancer treatment, here are five prior authorization updates Becker's has reported since  

1. An Oklahoma bill reforming the prior authorization process has been signed into law and goes into effect Jan. 1. 

2. Kodiak Solutions said an increase in initial denials on inpatient claims by payers for prior authorization rose from 1.73% of the value of inpatient claims in 2021 to 2.18% in 2023, a 26% increase. 

3. Vermont Gov. Phil Scott has signed a bill to reform the prior authorization process in the state.

4. In January, Bend, Ore.-based St. Charles Health System launched a pilot program alongside the insurer PacificSource to streamline automatic coverage approval for patients needing cancer treatment.

5. Humana is expanding its use of Cohere's prior authorization platform for diagnostic imaging and sleep services. 

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