Datapoint: Rhode Island Blues Eliminates Some Prior Authorization Requirements

Blue Cross and Blue Shield of Rhode Island (BCBSRI) is removing nearly 65% of prior authorization requirements for primary care providers by 2025. “We recognize that prior authorization can be a significant source of additional administrative burden and stress for primary care providers at a time when PCPs are struggling,” Martha L. Wofford, president and CEO of BCBSRI, said in a statement. “We’re hopeful that reducing these authorizations, along with our significant investments in primary care practices, will help PCPs thrive and improve patient access to care.” The payer previously eliminated PA for all outpatient behavioral healthcare in 2018. BCBSRI is the largest insurer in its home state, serving 414,466 members.

Source: AIS’s Directory of Health Plans

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AIS Health Staff

AIS Health Staff

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