Recent months have brought significant changes to benefits and health care.
Texas' physician "gold card" rules took effect in October of 2022. According to this law, physicians are exempt from prior authorization requirements for specific services if they have a six-month prior authorization approval record of 90% or higher.
Just recently, Pennsylvania state lawmakers passed a bill aimed at streamlining the prior authorization process. Now an act that has been signed into law, it requires more timely approvals from insurers, as well as a peer review process for complex cases. It would also necessitate an electronic portal where all prior authorizations and supporting documents are aggregated into a central site.
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