The Trump administration's WISeR pilot program introduces AI-driven prior authorization in Medicare to reduce waste and fraud, raising concerns over patient care and regulatory oversight.
Explore recent legislative and CMS efforts to reform prior authorization in U.S. healthcare, focusing on bipartisan bill progress, CMS regulations, and new experimental models to streamline Medicare prior authorization processes.
Ohio lawmakers introduce the FAMILY Act to improve health insurance coverage for families and small businesses, aiming to reduce barriers and healthcare costs.
Florida's recent insurance reforms drive new property insurers into the market, lowering homeowners and auto insurance rates and reducing litigation.
South Korea introduces life insurance reforms allowing policyholders aged 55+ to access death benefits as retirement income, addressing elderly poverty and expanding senior care market opportunities.
Panorama Insurance Associates backs the California Insurance Market Reform Act to modernize regulation, support agents, and address rising premiums amid insurer withdrawals.
Prior authorization delays in insurance are impacting cancer care delivery, prompting calls for reform to eliminate administrative barriers and improve patient outcomes.
California implements regulatory reforms including catastrophe modeling and streamlined rate approvals to address the Southern California fire insurance crisis and enhance market stability.
Major US health insurers commit to streamlining prior authorization to speed medical approvals and reduce patient/provider friction by 2027.
Florida's 2024 legislative session ends with limited insurance reforms amid profit-shifting concerns and stalled regulatory oversight initiatives. Lawmakers plan further action next session.
