Healthcare Innovation July 28, 2023
Once passed, the proposed rule will target pre-authorization requirements within MA.
The Centers for Medicare & Medicaid Services (CMS) is under pressure from lawmakers in Congress to finalize a proposed federal regulation that is intended to improve the current pre-authorization process required with Medicare Advantage. A recent letter sent to CMS about the issues involved cites cost, inefficiency, and patient care delays as areas that need improvement. The letter was signed by 61 senators and 233 House members, and received support from the American Medical Association (AMA).
Within the letter, the lawmakers wrote, “We urge CMS to promptly finalize and implement these changes to increase transparency and improve the prior-authorization process for patients, providers and health plans. We are pleased...
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