Medical Economics May 20, 2021
Keith A. Reynolds

The legislation would require Medicare Advantage plans to have a streamlined electronic authorization process.

The American Medical Association (AMA) and the Medical Group Management Association (MGMA) have both voiced their support for a prior authorization reform bill introduced last week.

The bill would require Medicare Advantage plans to implement streamlined electronic prior authorization process as well as increased transparency and enhanced oversight from the Centers for Medicare & Medicaid Services.

According to a news release, the need for the proposed legislation was highlighted in an AMA-conducted survey from December. The survey found that among the 1,000 practicing physicians who responded 83 percent reported that prior authorizations for prescription medications and medical services had increased over the past five years. While...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Payer, Provider, Regulations
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