Health Payer Intelligence March 3, 2020
MGMA recommended that CMS use Medicare Advantage star ratings criterion to standardize the prior authorization process, easing providers’ administrative burden.
In its comments on the CMS advance notice for Medicare Advantage (MA) and Part D changes, the Medical Group Management Association (MGMA) urged CMS to pursue greater transparency in Medicare Advantage plans’ prior authorization requirements, increase the automation of the prior authorization process, and leverage Medicare Advantage (MA) star ratings to alleviate prior authorization burdens.
CMS recently released its advance notice for Medicare Advantage and Part D changes, as part of its plan for contract year 2021 through 2022. The advance notice includes some changes to Medicare Advantage star ratings, intended to lower drug pricing and improve quality of care....
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