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Though Congress is in August recess, we’ve got details on some of the hot topics in health care that will be discussed and debated for the remainder of 2019. Read on to get the scoop! Continue reading Your Summer Federal Advocacy Roundup! →
Governor Bevin signs law on March 26, 2019
Imagine you’re diagnosed with a chronic condition like rheumatoid arthritis, which rocks your world and changes life as you have known it. With the help of a good physician, you develop a treatment plan that will hopefully improve your condition and make the tasks of daily life manageable.
Continue reading Prior Authorization Becomes Law in KY →
On Monday, June 13, Ohio Governor John Kasich signed Senate Bill 129, an important piece of prior authorization legislation, into law. The bill, sponsored by Senators Capri Cafaro and Randy Gardner:
- ensures that prior authorization requirements or restrictions are listed on the health insurer’s website and allows providers and patients to obtain prior authorization through a web-based system;
- ensures that any new or future prior authorization requirements are disclosed prior to the new requirement being implemented;
- requires that once a prior authorization has been approved, the insurer will not retroactively deny the service based upon previously approved medical necessity or coverage criteria; and
- requires a faster turnaround on prior authorization requests and a streamlined appeals process in the event a prior authorization is denied.
Continue reading Advocate Success in Ohio: Governor Kasich Signs Prior Authorization Bill Into Law →