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Prior Authorization

Description-iconThe prior authorization process with insurers lacks transparency and long wait times jeopardize patient outcomes.

Current-Legislation-iconStatus:
Supports HB 1194 (House Insurance Committee) – Ensures access to more efficient electronic prior auth systems, requires fail first protocols to be based on clinical guidelines developed by independent experts, establishes basic framework for when medically appropriate to exempt patients from fail first, and provides deadlines for insurers to render decisions on prior auth requests 

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PAMED Position
Supports legislative efforts to help standardize and streamline the prior auth process.

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What is PAMED Doing About it?
Advocating in support of HB 1194 

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What Action Should I Take?
Urge your State Representative to support HB 1194 

Take action

Prior Authorization News:


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