Prior Authorization/Electronic Prior Authorization (ePA)

Health Plan
Letters, Statements & Analysis

House Health Committees Hold Hearings with Health Insurer CEOs

On Jan. 22, the House Energy & Commerce Health Subcommittee and House Ways & Means Committee held hearings with the Chief Executives of five major health insurers. With a focus on affordability, Members and witnesses each shared a series of questions, proposals, and commitments regarding the increasing costs of care in the United States. And while health policy proposals continue to face partisan gridlock in Congress, legislators on both sides of the aisle agreed that health insurance premiums have risen exponentially, while increasing rates of prior authorization denials hamper patient access to care.
Price Transparency, Prior Authorization/Electronic Prior Authorization (ePA)
Resource

CMS Issues New Hospice Guidance in July 2014; Supersedes Previous Guidance Released in March 2014

The Centers for Medicare and Medicaid Services (CMS) recently released an updated guidance and standard prior authorization (PA) form for medication coverage for hospice beneficiaries. It supersedes a guidance released on March 10, 2014 (but implemented on May 1, 2014).
Coverage Parity, Medicare Part D, Prior Authorization/Electronic Prior Authorization (ePA), Legislation & Regulation