Senate considers regulating Prior Authorization

Earlier this year ZOOM+Care Transparency Report published data demonstrating that Oregon insurers take multiple days to approve emergency CT scans. - Sanders DiPiero


Senate Panel Eyes Regulating Insurance Prior Authorizations

ZOOM+Care 2018 Transparency Report


The Senate health committee on Tuesday mulled creating legislation to regulate how health insurers handle prior authorizations. In a hearing on healthcare administrative costs, Harvard economics professor David Cutler urged the senators to consider policies for HHS to standardize and streamline billing systems within the next five years. He recommended that the federal government standardize prior authorization forms for all insurers, eliminate extraneous billing codes and direct the integration of electronic health records and billing systems so a patient's health history is automatically linked to authorization of treatment.Cutler estimated these proposals could cut the health system's administrative costs in half and bring down overall costs by 8% to 15%. But the government would have.


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