Medical Groups Highlight Prior Authorization Reform for Improving Medicare Advantage

HealthLeaders Media September 7, 2022
Jay Asser

The Medical Group Management Association (MGMA) and the American Hospital Association (AHA) have offered their recommendations on streamlining the administrative process.

Reforming prior authorization to cut down on treatment delays and administrative burden is a necessity for improving Medicare Advantage (MA), according to key medical groups.

MGMA and AHA have submitted their comments to CMS in response to a request for information on the MA program, with both groups offering recommendations on prior authorization policies.

MGMA encourages CMS to take the following steps:

• Publish the Interoperability and Prior Authorization for MA Organizations, Medicaid and CHIP Managed Care and State Agencies, FFE QHP Issuers, MIPS Eligible Clinicians, Eligible Hospitals and CAHs proposed rule: This rule would improve the electronic exchange...

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