Nevada lawmakers are discussing nearly 10 bills aimed at reforming prior authorization requests for medical care through requiring quicker response times, increasing transparency, and creating regulations for artificial intelligence in decision-making.
Some of Florida’s most vulnerable people who rely on Medicaid may wind up having their care flow through managed care organizations under a bill the Legislature passed this session.
As the state legislative session comes to a close, Springfield state Rep. Melanie Stinnett is holding out hope that the Missouri General Assembly will come to an agreement on legislation limiting prior authorization for health care services.
In practice, the 340B Drug Pricing Program has become a financial advantage for large health systems and pharmacy benefit managers (PBMs) – third-party administrators who manage prescription drug programs for insurers and employers.
Deep reductions in spending on Medicaid and food programs for low-income families would have a crushing effect on Florida — from state government, which would have to absorb more of the financial burden; to health care providers who could see their reimbursement rates cut; to the 4.2 million Florida residents who rely on the health care safety net for some form of health care coverage.
UnitedHealth Group has avoided shareholder resolutions that would have asked investors at an upcoming meeting whether the company should audit how often it denies paying for members’ health care, following an outpouring of public anger last year.