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Massachusetts insurers face new authorization limits

Massachusetts insurers face new authorization limits

The Massachusetts governor’s administration implemented new regulations to limit prior authorizations for essential health services and medications, aiming to reduce paperwork and improve access to care. The rules, which took effect immediately, restrict prior authorizations for specific therapies, maternity services, and mental health medications, primarily affecting plans covering fully insured employer plans. While insurers and providers anticipate some benefits, experts suggest it remains uncertain how substantially patient access and provider processes will improve, given that many plans, including government programs and self-insured employers, will remain unaffected.

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