WKYT

Kentucky mayor pushes to restore pre-authorization

SOMERSET, Ky. (WKYT) - The mayor of Somerset wants to restore pre-authorization in Kentucky. Pre-authorization is a process by which health providers determine whether a service or prescription is ...
The Hill

HHS promotes insurer pledge to scale back prior authorization

Federal health officials on Monday touted pledges they have received from the health insurance industry to streamline and reform the prior authorization process for Medicare Advantage, Medicaid ...
Bozeman Daily Chronicle

State wants pre-authorization, more proof of 'medical necessity' for Medicaid-covered abortions

Fuller raised concerns requiring pre-authorization would extend a process where the timeline can be critical. “Abortion really is a time-sensitive service, even outside the case of emergencies,” ...
The American Prospect

Trump’s Sneak Attack on Medicare

Traditional Medicare has been an oasis of freedom for clinicians and patients alike from the plague of “pre-authorizations” required by private insurance plans and especially by so-called Medicare ...
JD Supra

Ninth and Second Circuit Courts of Appeals Rule that Preauthorization Process Does Not Impose Independent Contractual Liability on Issues of First Impression in Both Circuits

Within days of one another, the U.S. Court of Appeals for the Ninth and Second Circuits ruled—on issues of first impression for both—that ERISA expressly preempts state law breach of contract and ...
The News Journal

Delaware's health care system is in 'a crisis.' Will a pre-authorization reform law help?

Delaware's Pre-Authorization Reform Act aims to streamline the pre-authorization process for medical procedures and medications. The current process is criticized for being time-consuming, complex, ...