Posts categorized as: Access to Primary Care
News:
Publications:
New Federal Vaccine Recommendations Introduce Ambiguity and Could Lead to Coverage Headaches
In a break with past practice, ACIP has begun removing universal recommendations from some vaccines and, without new evidence, effectively downgrading them to a shared clinical-decision making (SCDM) designation.
CMS Prior Authorization and Interoperability Proposed Rule: What Diabetes Patient Advocates Need to Know
Georgetown CHIR has analyzed the rule and published a considerations document to help explain how the CMS Prior Authorization and Interoperability Proposed Rule may impact diabetes coverage and affordability.
Variability in Continuous Glucose Monitor Coverage in the Fully Insured Market
CHIR’s newly released report, supported by the Helmsley Charitable Trust, examines coverage policies from ten of the nation’s largest carriers and uncovers substantial variation in device availability, benefit classification, and clinical eligibility requirements.
Blog Posts:
Will Insurance Plan Coverage Policies Help Clarify ACIP Confusion? Probably Not
The vaccine landscape is volatile, especially after recent administrative changes to the Advisory Co...
New Federal Vaccine Recommendations Introduce Ambiguity and Could Lead to Coverage Headaches
In a break with past practice, the Advisory Committee on Immunization Practices has begun removing u...
Continuous Glucose Monitor Coverage Criteria And The Need For Prior Authorization Reform
There is wide variability in coverage for continuous glucose monitors (CGMs). In their latest analys...
From Clinics to Communities: Mobile Health in State Rural Health Transformation Plans
The Rural Health Transformation Program (RHTP) aims to help states modernize rural health care infra...
Translating Clinical Guidelines into Insurance Coverage Standards: High Stakes for Diabetes Access
As states move to regulate prior authorization and other utilization management practices, growing s...