Chief Healthcare Executive February 14, 2023
Ron Southwick

The CMS is weighing changes that providers have been seeking. Jack Resneck, the AMA president, said there’s ‘a vital need to rein in Medicare Advantage plans.’

Lawmakers fell short in securing approval for prior authorization reforms in Medicare Advantage plans a year ago, but healthcare groups are pressing the Biden administration to make changes this year.

The Centers for Medicare & Medicaid Services has proposed a new rule in December that would revamp prior authorization in Medicare Advantage plans, and providers have said the proposal would make some much-needed improvements.

The American Medical Association and more than 100 medical societies wrote a joint letter to CMS Administrator Chiquita Brooks-LaSure urging the agency to finalize reforms to the increasingly popular plans....

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Physician, Provider
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