Comments on: Prior Authorization – Boon or Bane? Federal and State Policymakers Seek Reforms to Insurers’ Utilization Management Practices https://chirblog.org/prior-authorization-boon-bane-federal-state-policymakers-seek-reforms-insurers-utilization-management-practices/ Blogging about health insurance coverage, insurance markets, and how people are affected by insurance reform Mon, 07 Nov 2022 15:34:45 +0000 hourly 1 https://wordpress.org/?v=6.5.3 By: Value for Whom? HHS Office of Civil Rights Seeks Input on the Impact of Payers’ Value Assessments on Health Equity - Center on Health Insurance Reforms https://chirblog.org/prior-authorization-boon-bane-federal-state-policymakers-seek-reforms-insurers-utilization-management-practices/#comment-95163 Mon, 07 Nov 2022 15:34:45 +0000 http://chirblog.org/?p=6822#comment-95163 […] implications of value assessment for a range of health insurance-related activities, including utilization management, formulary design, price negotiations, and alternative payment […]

]]> By: Amidst Rising Overdose Deaths, Policymakers Look for Ways to Expand Access to Proven Opioid Use Disorder Treatment - Center on Health Insurance Reforms https://chirblog.org/prior-authorization-boon-bane-federal-state-policymakers-seek-reforms-insurers-utilization-management-practices/#comment-94646 Tue, 16 Aug 2022 14:42:51 +0000 http://chirblog.org/?p=6822#comment-94646 […] can take action to limit or prohibit cost sharing as well as prior authorization and other utilization management techniques that reduce treatment access. While OUD patients face myriad obstacles to effective […]

]]> By: July Research Roundup: What We're Reading - Center on Health Insurance Reforms https://chirblog.org/prior-authorization-boon-bane-federal-state-policymakers-seek-reforms-insurers-utilization-management-practices/#comment-94633 Fri, 12 Aug 2022 13:35:29 +0000 http://chirblog.org/?p=6822#comment-94633 […] it Matters Issuers’ utilization management practices, such as prior authorization and medical necessity determinations, are designed to constrain health […]

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