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BREAKING NEWS: Michigan Legislature Votes To Hasten Healthcare Approvals - medtigo

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BREAKING NEWS: Michigan Legislature Votes To Hasten Healthcare Approvals

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Under a law headed to Gov. Gretchen Whitmer for her expected signature, insurers that require health providers to acquire pre-approval to cover treatment would have to reply quickly to doctors’ requests, or those requests would be automatically approved.

On Thursday, the bill was unanimously approved by the Senate.

According to US News, Advocates say the bill will shorten wait times for care and increase openness surrounding the prior authorization process.

Starting in June 2023, a non-urgent request will be granted until an insurance company grants or denies it within nine days or wants additional information. Beginning in June 2024, the time limit will be reduced to seven days.

Prior authorization requirements and restrictions, including clinical review criteria, would have to be posted on insurers’ websites.

Doctors and health advocates have argued that the pre-approval process causes unnecessary red tape and expense for providers, delays service, and irritates patients. People with various chronic ailments and diseases, such as heart disease, cancer, and diabetes, may be affected by the cost limitations, which insurers have defended as necessary.

Insurance companies have stated that they are working to deliver the most clinically appropriate care possible in the face of medical advancements and skyrocketing prescription costs, which are driving up premiums.

According to Dr. Srikar Reddy, president of the Michigan Academy of Family Physicians, the improvements are “commonsense corrections” to what has become a “detrimental” procedure. He claimed that they would assist ensure that patients receive the treatment and medications they require when needed and relieve doctors of some of the administrative strain.

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