Medical Economics May 2, 2024
Physicians looking for ideas about prior authorization (PA) reform have various resources to choose from.
A good place to start could be the American Medical Association, which has model legislation with 14 pages of definitions and rules that would streamline the process.
Megan Srinivas, M.D., M.P.H., is an infectious disease specialist practicing in Iowa. In 2022, she was elected to the Iowa House of Representatives, where she has been living the lessons of legislation to reform PA in that state.
In February 2024, she introduced the bill House File 2488 that would establish the following:
- 48-hour response time for urgent requests for PAs
- 10 days for nonurgent requests
- 15 days for cases with complex or unique circumstances or in...