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Prior Authorization – Boon or Bane? Federal and State Policymakers Seek Reforms to Insurers’ Utilization Management Practices

Center for Health Insurance Reform

Utilization management is one tool that insurers can use to help keep premiums in check, but it comes with significant tradeoffs for patients. CHIR's Megan Houston considers the history and current landscape of utilization management tools, what they are used for and what policymakers are doing to keep them in check.