by Jordana Choucair | Jan 27, 2023 | Payers
At least 40 state legislatures are expected to consider measures that would streamline the prior authorization process. So far, 26 prior authorization bills have been introduced in 16 states. In 2021, Texas passed a law allowing clinicians who have 90 percent of their...
by Jordana Choucair | Jan 27, 2023 | Payers
A new report from the Georgetown University Center for Children and Families proposes several reforms to ensure the Transparency in Coverage data are more usable and accessible. The report found that most insurers have complied with the rule, however; the data is too...
by Jordana Choucair | Jan 27, 2023 | Payers
Blue Shield of California announced it will bring its Wellvolution program to Medi-Cal. The program, created in collaboration with Solera Health, offers app-based programs in four key areas: disease prevention, chronic condition reversal, mental health support, and...
by Jordana Choucair | Jan 27, 2023 | Payers
Humana announced it will open 10 CenterWell clinics in the Dallas-Fort Worth region over the course of this year. CenterWell and its sister company, Conviva Care Center, offer senior-focused primary care at more than 220 locations across 11 states. Each of the...
by Jordana Choucair | Jan 25, 2023 | Payers
The Blue Cross Blue Shield Association (BCBSA) released a white paper outlining several policy priorities for the current Congress. The policies are organized under three main aims: Improve competition among health care providers, enhance consumer access to lower-cost...
by Jordana Choucair | Jan 24, 2023 | Payers
A new report from the U.S. Government Accountability Office found that more than $60 billion may have been paid out in fraudulent unemployment insurance benefits during the Covid-19 pandemic. The Department of Labor (DOL) has taken steps to address fraud risks;...
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