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Prior Authorization
Action must follow pledges on prior authorization reform

The latest pledge by health plans to reform the onerous prior authorization process must be followed by concrete action that fulfills those promises. Read the call to action from American Medical Association President, Bobby Mukkamala, M.D.

Resource
Prior Authorization
2024 Prior Authorization State Law Chart (PDF)

This chart outlines the legislative updates in each state.

Resource
Drug Price Transparency
Competition in PBM Markets and Vertical Integration of Insurers with PBMs: 2025 Update (PDF)

Using 2022 and 2023 data on prescription drug plan lives and the PBMs used by insurers to manage them, this paper presents a descriptive analysis of PBM markets.

News
Drug Price Transparency
Congress should reconsider breaking up pharmacy benefit managers, experts say

While existing proposals to regulate pharmacy benefit managers (PBMs) are discussed on a bipartisan basis in Washington, some experts argue that more needs to be done. Specifically, experts argue that PBMs, especially the “Big 3,” have the resources to work around legislation if it is not comprehensive.

Resource
Prior Authorization
2025 Red Tape Report by CancerCare (PDF)

This report shows that insurance red tape is widespread and can delay diagnosis and treatment, impose administrative burdens, lead to unexpected costs, and erode trust in the health care system for cancer patients.

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Medicare Payment Reform
Physicians take fight for Medicare payment reform to Capitol Hill

Bipartisan support for Medicare reform is building in Congress, as physicians witnessed firsthand at the 2025 AMA National Advocacy Conference.

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