5 prior authorization updates – 4

Becker's Healthcare July 8, 2024
Andrew Cass

Here are five updates on prior authorization, Becker’s has reported since June 18:

1. HHS’ Office of Inspector General will audit Medicare Advantage plans’ use of prior authorization in post-acute care settings.

2. Blue Cross and Blue Shield of Rhode Island is eliminating nearly 65% of prior authorization requirements for primary care providers by early 2025.

3. Leaders from Duluth, Minn.-based Essentia Health and York, Pa.-based WellSpan Health told Becker’s why they are supporting legislation aiming to reform the Medicare Advantage...

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