Ohio State Medical Association

⚖️ 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 𝗶𝗻 𝗔𝗜 𝗨𝘀𝗲 𝗕𝗶𝗹𝗹 ⚖️ A special thank you to Senator Al Cutrona (Canfield) for sponsoring SB 164, which mandates transparency in insurers’ use of AI for prior authorization decisions. This bill ensures decisions are based on individual merits and reviewed by licensed clinical professionals. Let's push for more accountability in healthcare!  https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #TransparencyInAI  

⚖️ 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵𝗼𝗿𝗶𝘇𝗮𝘁𝗶𝗼𝗻 𝗔𝗽𝗽𝗲𝗮𝗹𝘀 𝗕𝗶𝗹𝗹 ⚖️ Thanks to Representative Heidi Workman (Rootstown) for sponsoring HB 220, which strengthens prior authorization laws by ensuring fair appeals processes, preventing retroactive denials for covered benefits and bolstering provider protections in the appeals process, including prohibiting charges for appeals. This bill will help streamline the process and protect healthcare providers from unfair rejections. We’re grateful for your dedication to improving the system, Representative Workman!  Learn more about how to support this effort: https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #PriorAuthorization  

⚖️ 𝗡𝗼 𝗙𝗲𝗲𝘀 𝗳𝗼𝗿 𝗘𝗙𝗧𝘀 𝗕𝗶𝗹𝗹 ⚖️ A big thank you to Senator Nathan Manning (North Ridgeville) for sponsoring SB 166, which would prohibit insurers from charging healthcare providers for electronic fund transfers or remittance advice transactions. This simple change will reduce unnecessary financial burdens on providers.    Let’s support fair financial practices in healthcare! https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #EFTs  

The OSMA 2024 Annual Meeting is happening this weekend! Access all the event details here: https://lnkd.in/g5RFp-62 #OSMAction

⚖️ 𝗧𝗮𝗸𝗲𝗯𝗮𝗰𝗸𝘀/𝗖𝗹𝗮𝘄𝗯𝗮𝗰𝗸𝘀 𝗕𝗶𝗹𝗹 ⚖️ Thank you to Senator Bill Blessing (Colerain Twp.) for sponsoring SB 162, which limits insurers' takeback practices and ensures providers are not unfairly charged for appealing overpayment determinations. This bill will help prevent insurers from abusing their power and protect healthcare providers. We appreciate your leadership on this issue, Senator Blessing! Learn more about how to support this effort: https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform

⚖️ 𝗡𝗲𝘁𝘄𝗼𝗿𝗸 𝗔𝗱𝗲𝗾𝘂𝗮𝗰𝘆 𝗕𝗶𝗹𝗹 ⚖️ Kudos to Representative Dr. Kellie Deeter CRNA, CNP (Norwalk) for sponsoring HB 219, which aims to create standards for adequate insurance networks. This bill ensures that insurers provide sufficient access to healthcare services and maintain transparency for patients and providers alike. Ohioans deserve better. Let’s make sure insurance networks work for everyone. https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #NetworkAdequacy 

⚖️ 𝗔𝘂𝘁𝗼𝗺𝗮𝘁𝗶𝗰 𝗗𝗼𝘄𝗻𝗰𝗼𝗱𝗶𝗻𝗴 𝗕𝗶𝗹𝗹 ⚖️ A huge thank you to Senator Susan Manchester (Waynesfield) for sponsoring SB 165, which will stop insurers from downcoding provider claims and ensure fair reimbursement for time spent with patients. This bill also strengthens the prudent layperson standard to protect Ohioans from surprise emergency medical bills. Let’s fight for fair treatment for healthcare providers and their patients! https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #Downcoding  

⚖️ 𝗡𝗼𝗻-𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗦𝘄𝗶𝘁𝗰𝗵𝗶𝗻𝗴 𝗕𝗶𝗹𝗹 ⚖️ Thank you to Senators and physicians Terry Johnson (McDermott) and Beth Liston (Dublin) for sponsoring SB 160, which would prohibit mid-year drug formulary changes. This bill will protect patients from abrupt treatment changes and ensure doctors can provide the best care without interference from insurers. Join us in supporting this effort to put patients first! https://lnkd.in/eQywyPNx #HealthcareReform #InsuranceReform #NonMedicalSwitching  

⚖️ 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵𝗼𝗿𝗶𝘇𝗮𝘁𝗶𝗼𝗻 “𝗚𝗼𝗹𝗱 𝗖𝗮𝗿𝗱” 𝗕𝗶𝗹𝗹 ⚖️ A big thank you to Representative Kevin Miller (Newark) for sponsoring HB 214, which would create a "gold card" exemption for healthcare providers with high prior authorization approval rates. This bill will reward providers who demonstrate consistency and help reduce administrative burdens, improving patient care and outcomes. Stay tuned for more updates as we push for this important reform! Learn more: https://lnkd.in/gF8Wim-k    #HealthcareReform #InsuranceReform #PriorAuthorization

🚨 𝗠𝗮𝗷𝗼𝗿 𝗜𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗥𝗲𝗳𝗼𝗿𝗺 𝗖𝗮𝗺𝗽𝗮𝗶𝗴𝗻 𝗟𝗮𝘂𝗻𝗰𝗵𝗲𝗱! 🚨 OSMA is excited to announce the launch of our campaign supporting the introduction of 8 critical pieces of legislation in the Ohio House and Senate aimed at addressing the burdens healthcare providers face due to insurance company practices.  These bills will bring much-needed transparency and fairness to our healthcare system, empowering physicians to make decisions in the best interest of their patients. The proposed reforms include:  1️⃣ 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵𝗼𝗿𝗶𝘇𝗮𝘁𝗶𝗼𝗻 “𝗚𝗼𝗹𝗱 𝗖𝗮𝗿𝗱”: Reward providers for high prior authorization approval rates. 2️⃣ 𝗡𝗼𝗻-𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗦𝘄𝗶𝘁𝗰𝗵𝗶𝗻𝗴: Stop mid-year formulary changes that disrupt patient care. 3️⃣ 𝗔𝘂𝘁𝗼𝗺𝗮𝘁𝗶𝗰 𝗗𝗼𝘄𝗻𝗰𝗼𝗱𝗶𝗻𝗴: Protect providers from unfair claim adjustments. 4️⃣ 𝗡𝗲𝘁𝘄𝗼𝗿𝗸 𝗔𝗱𝗲𝗾𝘂𝗮𝗰𝘆: Ensure insurance networks are sufficient, accessible, and transparent. 5️⃣ 𝗧𝗮𝗸𝗲𝗯𝗮𝗰𝗸𝘀/𝗖𝗹𝗮𝘄𝗯𝗮𝗰𝗸𝘀: Protect providers from unfair insurer takebacks. 6️⃣ 𝗡𝗼 𝗙𝗲𝗲𝘀 𝗳𝗼𝗿 𝗘𝗙𝗧𝘀: Ban insurers from charging for electronic fund transfers. 7️⃣ 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵𝗼𝗿𝗶𝘇𝗮𝘁𝗶𝗼𝗻 𝗔𝗽𝗽𝗲𝗮𝗹𝘀: Strengthen the appeals process, limit retroactive denials and protect providers from charges. 8️⃣ 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 𝗶𝗻 𝗔𝗜 𝗨𝘀𝗲: Require transparency in insurer use of AI in decision-making. These bills are a critical step toward putting the power of medical decision-making back where it belongs: in the hands of healthcare professionals. Learn more, and join us in supporting these reforms for a healthier Ohio: https://lnkd.in/gF8Wim-k   #HealthcareReform #InsuranceReform #PriorAuthorization