Pioneers in 5 Star Service • Ronstadt Insurance • Tucson, AZ • 520-721-4848

Archive for Author 'Ronstadt Insurance'

🚨 Big News: HHS & Insurers Unite to Fix Prior Authorization!

HHS Secretary Robert F. Kennedy Jr. announced that nearly 50 major insurers β€” including Blue Cross Blue Shield, Cigna, Humana, UnitedHealthcare, and others β€” are voluntarily committing to overhaul prior authorization, making it simpler, faster, and more transparent.

🩺 What’s Changing?
πŸ“Œ Prior Authorization = insurer permission before care
⏳ Known for delays and red tape
πŸ”‘ 6 Insurer Commitments:
πŸ“² Standardize electronic prior auth submissions
βœ‚οΈ Reduce services needing prior auth
πŸ” Honor approvals when patients switch plans
πŸ” Transparency in decisions and appeals
⚑ Faster approvals β€” real-time when possible
πŸ‘©β€βš•οΈ Medical professionals to review all denials

πŸ“… What’s Next?

(more…)

πŸ“’ IRS Update: New PCORI Fee for 2024–2025

🧩 Fee Overview

  • Rate: $3.47 per covered life (up from $3.22 last year)
  • Applicable To:
    • Employers sponsoring self-insured health plans
    • Health insurance issuers

πŸ—“οΈ Coverage Period
Plan years ending between October 1, 2024 – September 30, 2025

βœ… Required Steps for Employers

(more…)