Healthcare Innovation September 16, 2022
Bill would establish electronic prior authorization process and reduce how long a health plan can consider a prior authorization request
The U.S. House of Representatives recently passed by voice vote the Improving Seniors’ Timely Access to Care Act (H.R. 3173), legislation that would streamline prior authorization requirements under Medicare Advantage plans.
The bipartisan legislation would establish an electronic prior authorization process and reduce how long a health plan can consider a prior authorization request; create a “real-time decisions” process for routinely approved services; require plans to report on their prior authorization use and rate of approvals and denials; and encourage plans to adopt policies that adhere to evidence-based guidelines.
Provider organization advocacy groups applauded the bill’s passage. “Hospitals and health...
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