AHIP Balks As HHS Urges Plans To Pause Prior Auth Due To Change Attack

By Cara Smith / March 14, 2024 at 9:00 AM
The health insurance industry is hitting back on HHS’ push for private health plans to pause prior authorizations to mitigate the fallout from the Feb. 21 cyberattack on Change Healthcare, saying doing so could open plans to fraud, even as providers say the breach has disrupted communications and compounded administrative burdens related to utilization management requirements. “Broad exemptions in prior authorization at a time of advanced payments could expose patients and employers to fraud, waste and unnecessary costs,” AHIP President...


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