Prior authorizations: why they matter and how to navigate the process

Health payers created the prior authorization system as a cost and quality control strategy, ensuring patients receive only the most necessary, evidence-based, cost-effective and quality care. Nevertheless, real-life implementation has shown that prior authorizations often backfire on their original intents, increasing overall care costs beyond what is necessary. It also delays patient care, contributes to…

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One or Two Health Systems Controlled the Entire Market for Inpatient Hospital Care in Nearly Half of Metropolitan Areas in 2022

This analysis examines the competitiveness of markets for hospital care based on the share of metropolitan areas controlled by a small number of independent hospitals or health systems and other measures. It finds that nearly half of metropolitan areas across the country had only one or two hospitals or health systems providing general inpatient hospital…

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Election 2024: State Health Care Snapshots

These fact sheets lay out the health care landscape in every state, providing data on a variety of health care topics that may be the focus of policy debates in the 2024 election. Topics include health costs; women’s health policy, including state abortion, contraception and maternity laws and policies; health coverage, including the Affordable Care…

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LGBTQ+ Health Policy

This Health Policy 101 chapter explores LGBTQ+ people’s identities and demographics, their experiences with health and health care, including the significant disparities, and the related health policy landscape.

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Healthcare Worker Vaccination is Important for Respiratory Virus Season 2024

Respiratory virus season is here. As a healthcare worker, you play a critical role in slowing and preventing the spread of viral respiratory infections, including flu and COVID-19. Like hand hygiene, personal protective equipment (PPE), and environmental cleaning and disinfection, vaccination is a critical tool in our infection control toolbox. Getting vaccinated in combination with…

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Over-the-Counter Oral Contraceptive Pills

Oral contraceptives are the most commonly used method of reversible contraception in the U.S. In July 2023, the FDA approved Opill, the first daily oral contraceptive pill to become available over the counter (OTC) without a doctor’s prescription. This issue brief provides an overview of OTC oral contraceptives and laws and policies related to insurance…

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