Insurers say prior authorization helps control costs by preventing medically unnecessary care, but patients say the process can delay or deny access to needed treatments.

Insurers say prior authorization helps control costs by preventing medically unnecessary care, but patients say the process can delay or deny access to needed treatments.

  • @gAlienLifeform
    6•1 year ago

    The federal government has proposed ways to reform prior authorization that would require insurance companies to provide more transparency about denials and to speed up their response times.

    So insurance companies can keep doing the same bullshit, they just need to send you more meaningless fine print about it more quickly. Gee, thanks Biden administration.

    If finalized, those federal changes [wouldn’t ] be implemented [until] 2026.

    Ok, I already said my sarcastic “thanks,” you can stop making it worse now.

    But even then, the rules would apply only to some categories of health insurance, including Medicare, Medicare Advantage, and Medicaid plans, but not employer-sponsored health plans. That means roughly half of all Americans wouldn’t benefit from the changes.

    Ffs