WSHA urges OIC to make changes to rulemaking on alternative authorization processes

October 18, 2017

On October 3, WSHA staff testified at the Office of the Insurance Commissioner (OIC) stakeholder hearing on regulating alternative authorization processes, otherwise known as “goldcarding.” WSHA urged the OIC to avoid requirements that would create excessive burden on carriers and providers that could hinder adoption. WSHA also urged the OIC to use a more generic term for the process and exclude from the rule separately regulated risk-based arrangements involving delegated utilization management.

In its written comments, WSHA strongly supports alternate authorization processes, as they have the potential to reduce cost and administrative burden for carriers and providers, and avoid delays in patient care that occur under standard prior authorization processes. (Andrew Busz)


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