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Lawmakers press insurers on health care affordability

Amid a flurry of activity on Capitol Hill, private health insurers answered questions in back-to-back hearings on health care affordability. On the dockets were several topics, including: 

Prior Authorization: Both parties strongly criticized prior authorization processes, urging for faster and more transparent methods. 

Medicare Advantage: Lawmakers discussed concerns about accounts of denied Medicare Advantage requests, limited access in rural areas, and reports of plans dropping crucial rural hospitals. 

  • UnitedHealth's CEO Stephen Hemsley discussed tight budgets and pilot programs for rural care.

Vertical Integration: Lawmakers expressed concern about insurers owning related health services. 

  • Rep. John Joyce (R-PA) requested a list of insurance branches considered as medical or quality-improvement costs by the end of February.

What's next: These hearings mark the start of a series on health care costs. The CAP will update members on future hearings and legislation addressing rising health care expenses.

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