Becker's Healthcare September 10, 2024
Andrew Cass

From UnitedHealthcare releasing details about its national gold-card program to a reform bill in California clearing one of its final legislative hurdles, here are six updates on prior authorization that Becker’s has reported since Aug. 20:

1. The Biden administration finalized new requirements for health plans to strengthen mental health parity laws for 175 million Americans. The new rule, introduced in July 2023, will require plans to analyze the outcomes of their mental health coverage policies, including network size, out-of-network payment policies and prior authorization requirements. The new rule clarifies that plans cannot have more restrictive prior authorization standards or narrower networks for mental health services.

2. Prior authorization ranks among...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: Insurance, Payer, Physician, Provider
Most doctors fear insurers using AI to deny coverage
Physicians say prior authorization stands in the way of medically necessary care
Insurers closed out 2024 on shaky footing
The New Reality of Hospital-Payer Contracts: How Baptist Health Negotiated with Florida Blue
Automating Insurance Verification: A Game-Changer for Pre-Visit Payment Collection

Share This Article