Mississippi Today

Legislature passes prior authorization reform for medical procedures, drugs

Published

1 year ago

February 20, 2024

The Legislature has overwhelmingly passed a bill to regulate how insurance companies decide which prescription drugs and medical procedures to cover for a consumer — a process called prior authorization.

The Senate passed the proposal unanimously earlier this month, but the House had amended the Senate bill and sent it back. The Senate on Tuesday agreed to the House’s changes.

The proposal now heads to Republican Gov. Tate Reeves, who vetoed a similar measure last year, for consideration.

“The bill that we have will be a great improvement for the process,” Senate Insurance Committee Chairman Walter Michel said. “It’s great for the medical community, it’s great for the patient, and it’s an improvement for the insurance companies as well because they have a defined timetable to provide the prior authorization.”

Prior authorization is when physicians have to seek approval from an insurance company before the company will cover a prescribed procedure, service or medication that is not an emergency.

If an insurance organization denies a prior authorization claim, a consumer could be forced to pay for a prescription or medical procedure out of pocket.

Insurance companies typically believe prior authorization helps ensure doctors provide only medically necessary services. Doctors argue the process is typically handled by clerical insurance staffers ill-equipped to understand medical procedures.

The bipartisan proposal would require insurance companies to create a “portal” or website by January 2025 for doctors to submit prior authorization applications.

For emergency services such as treating a stroke, prior authorization is not required under the new measure. For urgent services or procedures that can help treat someone in intense pain, insurance companies have 48 hours to process requests. For non-urgent services, insurance companies have seven days to process requests.

The governor vetoed a similar measure last year, but a Reeves spokesperson previously told Mississippi Today that the governor’s office has worked with “necessary stakeholders” to address some of his concerns in last year’s version of the bill.

“We made changes mainly to hopefully find something that the governor can agree with and go on and sign into law,” House Public Health Chairman Sam Creekmore IV said. “I think they were reasonable changes, and I hope it will make for a more efficient prior authorization process going forward.”

Insurance Commissioner Mike Chaney’s office will be responsible for enforcing the plan, and Michel told reporters on Tuesday that he intends to ask legislative leaders to give more money to Chaney’s office to effectively enforce the program.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

UMMC holds free cancer screenings

Published

3 days ago

April 30, 2025

Staff Editor

mississippitoday.org – @EricJShelton – 2025-04-30 12:00:00

by Eric J. Shelton, Mississippi Today
April 30, 2025

Resident physician Claire Babin, right, performs an oral cancer screening on Ella Holmes during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Physicians prepare for oral, head and neck cancer screenings during a free screening event at the Jackson Medical Mall on Wednesday, April 16, 2025.
Resident physician Brooks Lampkin, center, screens Diane Carter for oral cancer as medical students Mason Nodurft, left, and Eva Kiparizoska observe during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Educational giveaways advocating against smoking are available during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Sharon Terry, senior tobacco treatment specialist, waits for patients during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Skylar Robinson, medical office assistant, left, and Kiandria Bruce, registered nurse, review materials at the patient sign-in table during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Head and neck cancer literature is available during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Dr. Alex Brooks and registered nurse Angela Noble talk during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Nina Brown, clinical manager, helps Ned Bostic with paperwork during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Resident physician Brooks Lampkin performs an oral cancer screening on Ned Bostic at the Jackson Medical Mall on Wednesday, April 16, 2025.
Ned Bostic receives a neck cancer screening during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.
Resident physician Brooks Lampkin, center, and medical student Hanna Watson examine Ned Bostic during a free oral, head and neck cancer screening at the Jackson Medical Mall on Wednesday, April 16, 2025.

The University of Mississippi Medical Center’s Department of Otolaryngology-Head and Neck Surgery hosted a free oral, head, and neck cancer screening Wednesday at the Jackson Medical Mall as part of Oral, Head and Neck Cancer Awareness Week.

The event featured quick, noninvasive screenings aimed at catching cancer early — when treatment is most effective. Onyx Care provided free HPV vaccinations, while the ACT Center for Tobacco Treatment, Education, and Research offered resources on smoking cessation and free services.

“These screenings take about 10 minutes and can save lives,” said Dr. Gina Jefferson, head and neck surgical oncologist at UMMC. “The earlier a cancer is diagnosed, the better chance we have of curing it.”

Tobacco and alcohol use remain major risk factors for these cancers. However, physicians say an increasing number of cases are linked to HPV, especially among younger adults with no history of smoking or drinking. Dentists are often the first to spot early signs, which can include persistent sores, lumps in the neck, or difficulty swallowing.

Oral, head and neck cancers are among the most common globally. When found early, survival rates can exceed 80 percent.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post UMMC holds free cancer screenings appeared first on mississippitoday.org

Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

This article presents factual information about a free cancer screening event without showing a clear ideological stance. It primarily focuses on the health benefits of early cancer detection and the availability of free resources, such as HPV vaccinations and smoking cessation support. The language used is neutral and the content is centered around public health education rather than promoting a political viewpoint. The inclusion of factual statistics, such as survival rates and risk factors, adds to its informative and objective tone. There are no signs of bias or advocacy for a particular political agenda, making this a centrist piece.

Crooked Letter Sports Podcast

Podcast: What next for Mississippi State baseball?

Published

3 days ago

April 30, 2025

Staff Editor

mississippitoday.org – @rick_cleveland – 2025-04-30 10:46:00

by Rick Cleveland and Tyler Cleveland, Mississippi Today
April 30, 2025

Mississippi State didn’t even wait until the end of the season to fire Chris Lemonis, who brought the national championship to Starkville not quite four years ago. Where do the Bulldogs go from here. Robbie Faulk who covers the Bulldogs more closely than anyone else joins the podcast to discuss the situation.

Stream all episodes here.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Podcast: What next for Mississippi State baseball? appeared first on mississippitoday.org

Mississippi Today

Mobile sports betting users: We want to hear from you

Published

3 days ago

April 30, 2025

Staff Editor

mississippitoday.org – @MSTODAYnews – 2025-04-30 10:21:00

by Mississippi Today, Mississippi Today
April 30, 2025

Mississippi Today is looking to speak with current and former mobile sports betting users. We’d like to speak with people who spend considerable amounts of time and money betting on sports through online gambling sites.

We’re interested in hearing the experience of people who have suffered from gambling addiction or problems, or friends and family members of people who have. We also would like to talk with people who believe legalizing mobile sports betting would benefit Mississippi and its residents.

We want to hear from you. Please take the survey below or contact Political Reporter Michael Goldberg by email at mgoldberg@mississippitoday.org

TAKE THE SURVEY:

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This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Mobile sports betting users: We want to hear from you appeared first on mississippitoday.org

Political Bias Rating: Centrist

This article from Mississippi Today appears to present a neutral stance, focusing on gathering input from various groups of mobile sports betting users, including those who may have experienced addiction issues. The content does not advocate for or against the legalization of mobile sports betting but instead seeks to gather diverse perspectives, including those of individuals who may support or oppose it. The language used is objective and does not suggest a particular ideological perspective, allowing for a balanced exploration of the issue at hand.