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This Data Note highlights findings from the KFF Consumer Survey on problems consumers have experienced with prior authorization requirements. Overall, those with Medicaid, those who are higher utilizers of care, and those who seek certain types of care such as care for a mental health condition or diabetes encountered more problems with prior authorization over the past year.
Most employers know that if a group health plan provides mental health or substance use disorder (MH/SUD) benefits in any of six specified…
Yesterday, the Office of Management and Budget (OMB) released the FY 2023 budget request. The president's budget request starts the Congressional budget process.
Where a defendant administrator of a health insurance plan refused to pay for a plaintiff’s speech therapy, a U.S. District Court judgment dismissing the plaintiff’s ERISA complaint should be vacated because the plaintiff sufficiently pleaded that the plan violates the Mental Health Parity and Addition Equity Act by defining habilitative services as mental health services ...
As the year draws to a close, it is helpful for employers to pause to evaluate employee benefit plan amendment deadlines and other crucial fourth quarter considerations, including: Cafeteria Plan and FSA Plan Amendments for COVID-19 Election Change and Other Relief.