HCP Live October 13, 2023
Lana Pine

Feldman explains how healthcare legislation and regulation play a pivotal role in shaping patient care and costs.

In the second part of an interview with HCPLive, Madelaine A Feldman, MD, FACR, delves into the intricacies of healthcare legislation and regulation, shedding light on key issues that influence patient care and costs.

Understanding the distinction between state and federal law is crucial, Feldman explained.

“The reason I bring up this differentiation is when a state enacts laws related to, let’s say, step therapy reform, it only applies to fully funded insurance plans, not those sponsored or funded by employers,” she stated.

Utilization management tools, such as prior authorizations, have been used to validate and ensure that doctors prescribe the right drugs...

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