"The question is, when they
say the words 'medically necessary,' how are they really instituting that
without some kind of prior authorization? The reality is, they're probably not
[using prior authorization] as long as it's being ordered by a health care provider."
— Danielle Showalter, principal at Avalere, talked with AIS’s Health Plan Weekly about
recent federal guidance that requires insurers to cover "medically
necessary" diagnostic and antibody tests for COVID-19, and how the
industry is responding.
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