PolicyChanges.app

POLICYCHANGES.APPbuyer room · privateManage buyer room

A structured, change-event time series of US health-payer medical policy and utilization-management changes, monitored daily across 40+ payers. Each policy record is normalized into a comparable schema: payer, state, line of business (e.g. Commercial), policy category (e.g. Prior Auth), impact rating, affected specialties (e.g. Oncology, Rheumatology, Neurology plus further specialties), therapeutic channel (e.g. Pharmacy), effective date, the vendor's own date of detection, days to comply, an AI-generated summary, affected billing codes, and a required-action instruction set for billing teams. The distinctive property is that it captures changes rather than static policy text: it records when a requirement appeared, which payers and geographies it applies to, and what operational response it forces (worked example on the site: Anthem BCBS New York introducing step-therapy try-and-fail requirements on specialty medications, detected 30 May 2026 with no published effective date). This is effectively a step-therapy and prior-authorization protocol library indexed by payer, state, specialty and drug channel — a dataset with no free equivalent, because payers publish these policies as unstructured PDFs and web pages with no change feed and no reliable effective-date metadata.