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MedChi Bill on Preauthorization
MedChi Bill on Preauthorization
Insurance carriers and Pharmacy Benefit Managers often impose prior authorization requirements before a physician can obtain medicines or medical services for a patient. Considerable administrative time is spent securing approvals. In almost all cases, the preauthorization is approved but only after considerable delay and administrative expense. The Maryland Health Care Commission (MHCC) has proposed a process for moving to mandated uniform standards for preauthorization. The recommendations can be reviewed at http://mhcc.maryland.gov/electronichealth/prior_auth_final.pdf. The MedChi bill proposes that the legislature grant MHCC the authority to require carriers to conform to its standards and timeframes. At a time when physicians are being asked to help bring about higher health care quality with lower costs, it is important that they are not hindered by antiquated and unnecessary requirements. Contact your legislator and request that they support this proposal. Identical bills are being introduced in each chamber on the subject by Senator John Astle and Delegate Shawn Tarrant. Visit MedChi's Legislative Action Center at http://capwiz.com/medchi/state/main/?state=MD.