Skilled Nursing News March 28, 2025
A bill to reform prior authorization requirements for Medicare Advantage (MA) – a massive burden that nursing home operators have been trying to change for some time – was reintroduced on Capitol Hill Thursday. Nursing homes have long argued that this aspect of MA needs to be right-sized through legislation.
The Reducing Medically Unnecessary Delays in Care Act of 2025 seeks to reform prior authorization for Medicare and Part D prescription drug plans in addition to MA, according to a report from The Hill. Only specialty board certified physicians would be able to make important decisions about treatment, according to the legislation reintroduced by Rep. Mark Green (R-Tenn.).
Restrictions to care would need to be based on medical necessity and...
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