MedCity News October 26, 2021
The bill, if enacted into law, will establish an electronic prior authorization process and require Medicare Advantage plans to report on their use of prior authorization and the rate of approvals or denials to CMS. It has 227 co-sponsors in the U.S. House, indicating strong support from both Republicans and Democrats.
Providers and payers agree that the prior authorization process needs to improve, but they have widely differing views on how to accomplish that. Legislators have now stepped in with their own plan to streamline the prior authorization process under the Medicare Advantage program, which has gained support from both sides of the aisle.
Dubbed the Improving Seniors’ Timely Access to Care Act of 2021, the legislation would require the...
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