AHIP to simplify prior authorization process

AHIP (formerly America’s Health Insurance Plans) released a statement yesterday saying that their health plan members “announced a series of commitments to streamline, simplify and reduce prior authorization.” 48 US health plans signed off on the statement. What were AHIP’s 6 commitments? Standardizing Electronic Prior Authorization. Participating health plans will work toward implementing common, transparent submissions…

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Public Opinion on Prescription Drugs and Their Prices

This chart collection draws on recent KFF poll findings to provide an in-depth look at the public’s attitudes toward prescription drugs and their prices. Results include Americans’ opinions on drug affordability, pharmaceutical companies, and various potential measures that could lower prices, including the Inflation Reduction Act.

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Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule

Three Democratic senators asked the country’s top nonpartisan government watchdog on Tuesday to investigate the costs of a Georgia program that requires some people to work to receive Medicaid coverage. The program, called “Georgia Pathways to Coverage,” is the nation’s only active Medicaid work requirement. Pathways has cost tens of millions in federal and state…

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MedCity Pivot Podcast: Price Transparency is the New North in the PBM World

[Sponsored] In this episode, a pharmacy benefit management executive and a pharmacy startup talk about why benefit verification, prior authorizations, and patient affordability still break the workflow and how smart integrations, real-time eligibility, and intuitive design can reduce friction for all involved. The post MedCity Pivot Podcast: Price Transparency is the New North in the…

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