Health Payer Intelligence April 5, 2023
The final rule requires Medicare Advantage plans to review prior authorization policies annually and ensure approvals are valid for as long as medically necessary.
CMS has finalized a Medicare Advantage rule that aims to increase marketing oversight, streamline prior authorization requirements, and improve access to affordable prescription drugs.
“The Biden-Harris Administration has made exceptionally clear that one of its top priorities is protecting and strengthening Medicare,” CMS Administrator Chiquita Brooks-LaSure said in the press release. “With this final rule, CMS is putting in place new safeguards that make it easier for people with Medicare to access the benefits and services they are entitled to, while also strengthening the Medicare Advantage and Part D programs.”
In the 2024 Medicare Advantage and...
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