Medical Economics January 18, 2024
Richard Payerchin

Congress must make faster prior authorizations a national priority in health care, advocates say.

Advocates for quicker care joined the organizations responding to new Medicare rules that aim to speed up the prior authorization process and increase data sharing in medicine.

On Jan. 17, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) announced CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). There will be new requirements starting in 2026 for payers to have quicker turnaround on requests for patient care, and more data sharing among payers and physicians and other clinicians.

The new rules generally got favorable responses almost immediately, with additional reactions coming later that day. Health care organizations called for Congress to push for further reforms...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer, Physician, Provider
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