Massachusetts H1143 aims to improve the health insurance prior authorization process.

Massachusetts H1143 seeks to improve the health insurance prior authorization process by mandating scientifically derived and evidence-based criteria for utilization review. The bill requires carriers and utilization review organizations to adopt these criteria, ensuring they are developed with input from participating physicians. It also mandates the use of standardized electronic prior authorization forms and requires carriers to make utilization review criteria publicly available.

Massachusetts H1143 aims to improve the health insurance prior authorization process.

Massachusetts H1143 seeks to improve the health insurance prior authorization process by mandating scientifically derived and evidence-based criteria for utilization review. The bill requires carriers and utilization review organizations to adopt these criteria, ensuring they are developed with input from participating physicians. It also mandates the use of standardized electronic prior authorization forms and requires carriers to make utilization review criteria publicly available.