This issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly Medicaid. The first brief introduces the fundamentals of prior authorization, how it operates for Medicaid beneficiaries, and the growing movement for reform. Future installments will explore the legal and policy implications of prior authorization, highlight emerging reform efforts at both the federal and state levels, and identify advocacy strategies to promote transparency and accountability in Medicaid.
Congressional Republicans are considering policies that would cut funding for Medicaid through their forthcoming budget resolution. Emerging proposals could…
Work requirements in Medicaid risk creating unnecessary administrative burdens and increasing costs for states without achieving their intended goals.…
