prior authorization

From several states advancing legislation to CMS considering reforms, here are seven prior authorization updates Becker’s has reported since April 24:  1. HHS will not enforce mental health parity regulations opposed by some large employers and insurers as it reconsiders…

The North Carolina House of Representatives has passed a bill aimed at reforming the prior authorization approval process. The bill requires payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It…

CMS is considering proposals that would cut the number of procedures that are subject to prior authorization, Bloomberg reported April 29.  Five things to know: 1. People familiar with the discussions told Bloomberg that CMS is exploring making prior authorization…

A package of California bills aiming to streamline the prior authorization process recently passed out of Senate and Assembly health committees, the California Medical Association said April 28. The four-bill “Prioritizing Patients, Empowering Physicians” package was unveiled April 10 by…

North Dakota Gov. Kelly Armstrong signed a bill April 23 aimed at reforming the prior authorization process in the state.  The bill requires insurance plans to provide a decision within seven calendar days for nonurgent prior authorization requests and 72…

From UnitedHealthcare planning to cut prior authorization by 10% in 2025 to a congressman reintroducing reform legislation on, here are nine prior authorization updates that Becker’s has reported on since March 3:  1. Rep. Mark Green, MD, of Tennessee reintroduced…