As part of our Digital Liberation process, Agilian LLC helps Medicaid MCOs and other state and not-for-profit health and human services organizations meet the challenges and opportunities presented by new regulations, new funding opportunities, and a rapidly changing world. One area that is currently seeing new or updated reforms in many states is Prior Authorization. Many of these current efforts, like the law recently signed by DC Mayor Muriel Bowser, have adopted many of the reforms proposed in the model legislation offered by the American Medical Association.
We recently published a short white paper on how Prior Authorization reform will impact the tech at MCOs (and vice versa), and include some tips on how MCOs can address these reform provisions. Read the White Paper here: On the horizon: Addressing prior authorization reform
