06/28/2022

OSMA Major Insurance Reform Initiative

• OSMA Prior Authorization “Gold Card”/Major Insurance Reform Initiative

The OSMA advocacy team has spent more than a year preparing to embark on a major legislative initiative dealing with the continued issues Ohio physicians are facing related to prior authorization. House Bill 130, the “prior authorization gold card” legislation will further streamline the prior authorization process and remove some of these “roadblocks” so physicians and medical staff can focus more on patient care. OSMA is excited about this endeavor and we will need continued physician input and participation as this process kicks off and gets underway.

Learn More at OSMA.org/insurance-reform

• Insurance Reform – Takebacks and Downcoding

OSMA is also preparing to take legislative action regarding other insurance-related issues such as automatic downcoding of claims and retroactive takebacks. We have collected a lot of feedback and information from members about how these issues are causing administrative burden on practices, and hope to create meaningful changes in the legislative space that will alleviate these difficulties for Ohio physicians.