Datapoint: Mass. Blues Cuts 14,000 Prior Authorizations

Blue Cross Blue Shield of Massachusetts on Nov. 6 announced it would remove prior authorization requirements for home care service for commercial beneficiaries starting on Jan. 1, 2024. The insurer noted the change would eliminate 14,000 authorizations for home care services, including physical and occupational therapy and visits from home health aides, nurses and social workers. BCBS of Massachusetts also recently removed prior authorization requirements for continuous glucose monitoring devices and type 1 diabetes. The Blues affiliate is the largest insurer in its home state, with 2,271,151 members. About 850,000 of its members are enrolled in commercial risk-based products, with 1.34 million enrolled in self-funded plans.

Source: AIS’s Directory of Health Plans

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AIS Health Staff

AIS Health Staff

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