Federal lawmakers have been probing payers on a variety of issues in recent months, raising concerns on prior authorizations, Medicare Advantage costs, artificial intelligence and more.
Policy Updates
A government shutdown could cause hiccups in the unwinding of Medicaid continuous coverage requirements.
Two lawmakers are introducing legislation that would expand the scope of supplemental benefits offered in Medicare Advantage.
Payers and providers don't agree on much when it comes to the No Surprises Act dispute resolution process.
New Mexico's superintendent of insurance has ordered payers operating in the state to expand access to behavioral health services, the Albuquerque Journal reported Sept. 19.
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Updated COVID-19 boosters have started rolling out to pharmacies nationwide, but some individuals are reporting a high price tag associated with getting a shot.
Oregon is asking CMS to approve a basic health program for lower-income individuals who make too much to qualify for Medicaid, a move that could raise premiums prices on the state's individual insurance market.
Hawaii is pausing Medicaid disenrollments for all Hawaii residents for the remainder of 2023 in the wake of the Maui wildfires.
As prior authorizations have come under the regulatory and legislative microscope, several payers have announced cuts to their requirements.
Blue Cross Blue Shield of Michigan is the latest payer to announce it is scaling back its prior authorization requirements.