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Hospitals, insurers and regulators call for deeper review as denials and prior‑authorization disputes spike
Summary
Two related measures — a work group to study rising adverse insurance decisions and a reporting/examination bill tied to spikes in denial rates — drew dozens of providers and regulators to the Health and Government Operations Committee.
The Health and Government Operations Committee held linked hearings on rising insurance adverse decisions: Delegate Jocelyn Pena‑Melnick’s work group bill (House Bill 995) to study denials and House Bill 848 requiring carriers to report sharp increases in denial rates and empowering regulatory examinations.
Nut graf: Hospital leaders, community clinics and the Maryland Insurance Administration told the committee denials and utilization‑management activity have grown sharply in recent years and said the state needs better data and standardized reporting to identify systemic problems. Providers…
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