Fierce Healthcare October 19, 2023
Health insurers are calling out what they view as critical “operational flaws” in proposed updates to mental health parity requirements.
This summer, the Biden administration pitched regulatory updates to existing parity laws to ensure that health plans are complying with the requirements. Under the rules proposed jointly by the departments of Health and Human Services, Labor and the Treasury, payers would need to evaluate their prior authorization protocols as well as evaluate out-of-network reimbursement to prevent unnecessary costs for members.
AHIP said in submitted comments (PDF) that its members fear the regulatory updates would not necessarily lead to enhanced access to mental health but could institute onerous compliance requirements.
“Essential components” of the proposal clash with state laws or are...
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