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Hospitals describe continuing prior-authorization obstacles for psychiatric inpatient care despite statutory reform
Summary
Hospitals told the Joint Committee on Financial Services that prior-authorization and other payer administrative reviews continue to burden inpatient psychiatric units despite statutory reform that eliminated prior auths for admissions.
Hospital clinical leaders told the Joint Committee on Financial Services that reforms intended to eliminate prior-authorization barriers for inpatient psychiatric care have not fully realized their purpose in practice. Instead, they said, the administrative burden has shifted to inpatient units and case managers, causing delays, denials and staff burnout.
Denise Mason, executive director for inpatient behavioral health at Beth Israel Lahey Health, said that while…
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