Category: Health Policy

Prior authorization has long been one of the most frustrating friction points in healthcare — for providers, for patients, and for anyone who has watched a necessary treatment get delayed while paperwork winds through an insurer’s review queue. The good news is that meaningful reform is underway. The bad news is that reform doesn’t eliminate Read more

Medicaid waivers have always been one of the most powerful — and least understood — tools in healthcare policy. Through Section 1115 waivers and other flexibility mechanisms, states can reshape how Medicaid operates within their borders: who qualifies, what’s covered, how providers are paid, and how outcomes are measured. For health systems and provider organizations, Read more