At Health First Health Plans, we are committed to ensuring every member has equitable and timely access to the care they need.

As part of this commitment, we conduct an annual review of our prior authorization (PA) processes for our Medicare members. This review evaluates how effectively we’re meeting the needs of our members, and the standards set by the Centers for Medicare & Medicaid Services (CMS), with a specific focus on equity and access.

We analyze key metrics across our entire Medicare membership, including comparisons between members without social risk factors and those who may face greater challenges—such as disabilities, those receiving low-income subsidies, and those dually eligible for Medicare and Medicaid.

To learn more about these metrics and our ongoing efforts to ensure equitable care, click here.