Fierce Healthcare March 15, 2024
Providers are still feeling the pain brought on by the cyberattack on Change Healthcare, and they’re continuing to push insurers and the feds to beef up their responses.
For example, they’re seeking relief around prior authorization and utilization management to keep claims payments moving amid delays, and the Department of Health and Human Services (HHS) has backed this step, urging payers to streamline these processes.
However, AHIP, the leading insurance lobbying group, said in a statement Thursday that there are risks to potentially offering exemptions broadly for prior auth.
“Given the very wide variability of impact across the system, individual plans and providers are in the best position to assess how to maintain appropriate payments in a timely manner—and also...
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