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The announcement on prior authorization comes months after the killing of UnitedHealthcare executive Brian Thompson, which sparked widespread criticism about insurance denials.
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Millions of prior authorization denials are made annually, leaving many patients stuck in a convoluted appeals process. For doctors, these decisions are frustrating. For patients, they can be devastating.
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Doctors, patients and hospitals have railed for years about processes that insurers use to decide whether they’ll pay for drugs or procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
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State lawmakers pushed through six claims bill on Monday. The 2015 session could be one of the few times the state pays claimants in two years.