
Wisconsin became the latest state to put prior authorization on the front burner when Gov. Tony Evers proposed changes to the practice – and a bevy of other insurance reforms – in his budget address in February. The governor also wants to audit health plans with high rates of denials and establish network adequacy standards.
Patients and providers say that prior authorization creates unnecessary barriers to care and generates excessive paperwork burdens. But insurers contend it’s an important tool to reduce costs and prevent unneeded care. And they’ve criticized Evers for fanning the flame during heightened tensions following the murder of UnitedHealthcare’s CEO.
Wisconsin Health News is assembling a panel of experts to discuss what’s next for health insurance in Wisconsin.
Panelists:
- Michael Finley, Vice President Revenue Cycle, Emplify Health
- Dr. Mark Huth, CEO, Group Health Cooperative of South Central Wisconsin
- Dr. Julie Mitchell, Senior Clinical Officer, Anthem Blue Cross and Blue Shield
- Rep. Clint Moses, Chair, Assembly Committee on Health, Aging and Long-Term Care
- Dr. Michael White, President-elect, Wisconsin Medical Society
WHN Panel Series is sponsored by:
Ascension Wisconsin
Wisconsin Medical Society
Novo Nordisk
Rogers Behavioral Health
WPS Health Insurance
Group Health Cooperative of South Central Wisconsin