InformerNow

Medicaid managed care organizations (MCOs) deliver care to three-quarters of all Medicaid enrollees nationally. MCOs often require patients to obtain approval of certain health care services or medications before the care is provided—an insurance practice commonly referred to as “prior authorization”. This allows the MCO to evaluate whether care is covered, medically necessary, and being delivered…

Editorial Note This brief was updated on August 11, 2025 to correct the number of states that allow and prohibit minors to consent to their own contraceptive care. Across the country, minors’ ability to consent to their health care, particularly their reproductive health care, varies significantly. Expanding “parental rights’ in health and education has been…

A new analysis shows that individuals with employer insurance could save 41% on their out-of-pocket spending for asthma and COPD inhalers through manufacturer savings. In response to a U.S. Senate investigation into inhaler costs, 3 drug makers voluntarily capped out-of-pocket costs on their brand-name asthma and COPD inhalers. Among the asthma and COPD inhalers covered…

State laws and policies prohibiting or restricting minor access to gender affirming care have proliferated in recent years. The first state to pass such a law was Arkansas in 2021. By January 2024, that number increased more than five-fold, with states having passed such laws/policies. Most are being challenged in court. On June 18, 2025,…