Brian Tabor retweeted
Excellent news that #LA is joining #IN in restricting health plans from reducing, suspending and/or terminating a hospital facility's contract if physicians at the hospital are out of network w/ that health plan.
Recall that @AnthemBCBS or whatever they are called this week announced in Q4 '25 that they would be penalizing hospital facility reimbursements -10% if the hospital had physicians who were out of network w/ Anthem.
For multiple state and federal law reasons, such a policy is illegal on its face & @CMADocs are suing Anthem to have the policy declared illegal--I'll take the over that they are successful.
Congrats to @ASALifeline and the physician advocacy community for yet another win.
“When you really dive deep,” he said, these improvements don’t seem to touch the services and procedures, such as CT scans, that get caught up in prior authorization so frequently. “When we started looking into it,” he said, “it was almost a PR stunt.”
modernhealthcare.com/insuran…
Brian Tabor retweeted
Nearly 20% of physicians said they have seen insurance company policies cause a life-threatening event for a patient.
Policymakers must continue to work together in lowering healthcare costs and improving access to care.
Learn more: buff.ly/YryUloY
States try to rein in health insurers’ claim denials, with mixed results stateline.org/2025/03/25/sta…
Brian Tabor retweeted
Hospitals are closing across the country due to failing financials - with 10 closures already in 2025. @BeckerHR reported that challenges such as high labor costs, supply chain disruptors, and rising cyber-security threats are pressure points. Read more: ow.ly/qVo050VowYI
Brian Tabor retweeted
1/Transparency on prior auth requirements + tight time frames for PA to be approved—what a revolutionary concept!
beckerspayer.com/payer/north…
For some, legislation proposing changes to insurance companies' prior authorization processes in ND could be life-saving kfyrtv.com/video/2025/02/26/…
Brian Tabor retweeted
Problem solved!
MultiPlan rebrands amid price-fixing allegations
hubs.ly/Q037mvrP0
Check out this important and timely blog post about much-needed health insurance reforms: "BCBS settlement gives new visibility to BlueCard claims"
unlockmanagedcare.com/resour…
Looks like some state regulators are finally taking a harder stance when it comes to excessive denials by health insurers. Hope to see others take note!
beckerspayer.com/payer/new-h…
States take firmer hand against health insurance denials modernhealthcare.com/insuran… via @modrnhealthcr
I'm skeptical. The insurers' national trade association has announced commitments and initiatives before on improving prior authorization (second tweet is an example from '22). States need to enact meaningful guardrails, as past promises from the industry have not been fulfilled.
Cigna to spend $150M to improve prior auth, patient advocacy: CEO modernhealthcare.com/finance…
Bust up Big Insurance, curb Medicare Advantage, Republican says modernhealthcare.com/politic… via @modrnhealthcr
Opting out of a landmark antitrust settlement and using litigation funders — two bad decisions hospitals shouldn’t make modernhealthcare.com/legal/o… vía @modrnhealthcr
Brian Tabor retweeted
Health First Indiana is creating a healthier tomorrow for Hoosiers! A new report shows HFI programs generated $95M in savings thanks to the investment of public health funding by state legislators and the work of local health officials & hospitals. @StateHealthIN @FSPH_IU
Report: Indiana local public health funding program generates significant savings | via @brandonjsmith5 wfyi.org/news/articles/repor…
