Health Payer Intelligence November 29, 2023
The payer focused on prior authorizations that may slow down the transition from hospital care to home care.
Blue Cross Blue Shield of Massachusetts (“Blue Cross”) joined other payers in eradicating prior authorizations for certain services as part of an effort to accelerate members’ access to care and reduce provider burden.
Between August and November of 2023, three major payers reduced their prior authorization policies: Blue Cross, Cigna, and UnitedHealthcare.
The latest of the three to announce a prior authorization reduction, Blue Cross eradicated 14,000 home healthcare-related prior authorizations for its commercial health plan members.
Practically, the new policy will affect prior authorizations for physical therapy, occupational therapy, and home visits from home health aides, nurses, and social workers. It...
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