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Insurance & Managed Care

Overview

The insurance and managed care environment in New York has continued to evolve due to marketplace factors like industry consolidation and integration, the advancement of new plan and provider partnership models and the growing influence of private equity. The changing conditions present new challenges and opportunities for hospital contracting and reimbursement strategies. HANYS provides expertise, guidance, analytics and education to support members in navigating the complexities of the managed care landscape.

HANYS advocates for balanced legislation in the managed care and insurance marketplace by working closely with state and federal regulatory agencies. Our legislative priorities include protecting the patient-provider relationship against restrictions to services and sites of care, enforcing timely and appropriate reimbursement for necessary services and eliminating unnecessary barriers to care like prior authorization requirements.