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Prior authorization reforms targeted in 40 states


Efforts to overhaul the prior authorization process are hitting a crescendo in state legislatures, with at least 40 states expected to consider measures that would streamline the way doctors must obtain health plan signoffs before they can order procedures, tests or treatments, Axios reports. The Biden administration in December proposed rules to create an electronic process and shorten wait times for prior authorization in Medicare Advantage, Medicaid managed care and Affordable Care Act exchange plans.

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