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- Insurers Pledge to Ease Controversial Prior Approvals for . . .
Other changes include more standardization over what information doctors and patients need to submit to get approval The insurers have also agreed to protections for patients who change health
- Health Insurers Take Major Accountability Step On Prior . . .
Most of the nation’s biggest health insurance companies, including Cigna, CVS Health’s Aetna, Humana and Elevance Health, are poised to ease prior authorization, the process of insurers
- As health insurers issue denials, some patients run out of . . .
The practice isn’t new Insurers have used prior authorization for decades to limit fraud, prevent patient harm and control costs In some cases, it is used to intentionally generate profits for insurers, according to a 2024 U S Senate report By denying costly care, companies pay less for health care expenses while still collecting premiums
- Prior authorizations and insurance denials leave some . . .
In March, Virginia passed a law that will require health insurers to publicly post a list of health care services and codes for which prior authorization is required A North Carolina bill would
- Health Insurers to Promise Changes to Preapproval Process . . .
Following the backlash that hit health insurers after the killing of a top executive last year, the industry will pledge steps meant to smooth the controversial preapproval process that can deny
- 2 big insurers take small steps to ease prior authorization . . .
Cigna, meanwhile, said it is removing nearly 25% of medical services from prior authorization requirements The insurers’ efforts “begin to reduce the overwhelming volume of prior authorization requirements that are threatening patients’ health and wasting valuable health care resources,” said AMA Immediate Past President Jack Resneck, MD
- AMA wants insurers to be accountable when prior authorization . . .
A 2022 survey of physicians found that excessive prior authorization controls required by health insurers frequently lead to serious harm when necessary medical care is delayed, denied, or disrupted The study found 88% of physicians experience high or extremely high administrative burdens due to prior authorization requirements, and 94% of
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