Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization process requires a health insurer to consent to a doctor’s proposed course of treatment for a patient before the insurer agrees to pay for any medical services the physician wishes to provide. The insurer’s consent is allegedly based on whether the prescribed treatment plan is considered “medically necessary” by the insurer.
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Welcome and thank you for checking out Cozen O’Connor’s Health Law Informer blog. Health Law Informer will provide updated news and analysis concerning the world of health law. Check back often for new posts and feel free to send us your feedback.
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