Patients, advocates and researchers welcome regulations but argue rules don’t go nearly far enough to tackle scale of problem

A new set of rules from the Biden administration seeks to rein in private health insurance companies’ use of prior authorization – a byzantine practice that requires people to seek insurance company permission before obtaining medication or having a procedure.

The cost-containment strategy often delays care and forces patients, or their doctors, to navigate opaque and labyrinthine appeals.

The administration’s newly finalized rules will require insurance companies who work in federal programs to speed up the approval process and make decisions within 72 hours for urgent requests. The regulations will also require companies to give a specific reason as to why a request was denied and publicly report denial metrics. The regulations will primarily go into effect in 2026.

  • Semi-Hemi-Demigod@kbin.social
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    9 months ago

    Medicare for All would have evil government death panels. Health insurance is evil corporate death panels, which are better because reasons.

    • deegeese@sopuli.xyz
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      9 months ago

      They were outraged that the death panels wouldn’t be able to use profit motive any more.

    • evatronic@lemm.ee
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      9 months ago

      I want my death panels incentivized by … keeping me alive to keep paying taxes, instead of incentivized to reduce costs and increase short-term profits.