A Connecticut court has ruled that under Freedom of Information rules, the HMOs running the state's Medicaid program must disclose the rates that they pay cardiologists and gastroenterologists. They're also being required to disclose the number of times patients were denied prescriptions due to lack of prior approval, and whether those patients were given temporary supplies. The FOI case, which was originally brought by Yale professor Kari Hartwig and the New Haven Legal Assistance Association, was brought, in part, to determine why participation by the state's doctors is so low, as only 5.7 percent of the state's doctors have a Medicaid number. The companies affected by the decision are Anthem Blue Cross & Blue Shield, Community Health Network of Connecticut, Health Net of Connecticut and Well Care.
Find out more about the case:
- read this article from the New Haven Register