Lauren Sausser

GOP-Led States Expand Crackdowns on Transgender Care

KFF Health News Original

South Carolina’s legislature is poised to pass a bill prohibiting doctors from offering some health-care services to transgender minors — part of a new wave of anti-trans legislation from Republican-led states. The South Carolina bill, which passed the state House of Representatives in January and is under consideration in the Senate, would bar health-care providers […]

Biden Cracks Down on Prior Authorization — But There Are Limits

KFF Health News Original

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization — a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […]

Will CMS Crack Down on Prior Authorization?

KFF Health News Original

There’s the Idaho doctor whose infant daughter developed a brain tumor. A woman in Southern California who waited months for an MRI before dying in the hospital. And a North Carolina patient who has trigeminal neuralgia — a condition so painful it’s commonly called the “suicide disease.” They all have something in common, aside from […]

Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients

KFF Health News Original

The federal government wants to change the way health insurers use prior authorization — the requirement that patients get permission before undergoing treatment. Designed to prevent doctors from deploying expensive, ineffectual procedures, prior authorization has become a confusing maze that denies or delays care, burdens physicians with paperwork, and perpetuates racial disparities. New rules may not be enough to solve the problems.