MedPage Today May 8, 2024
— “No prior authorization without prior authorization,” Senate Budget Committee chair says
Medicare Advantage (MA) insurers that impose prior authorization requirements on doctors in accountable care organizations (ACOs) should have to get them pre-approved by CMS, Sen. Sheldon Whitehouse (D-R.I.) said Wednesday.
“There is no logic to prior authorization,” Whitehouse, chairman of the Senate Budget Committee, said at a committee hearing on alleviating administrative burdens in healthcare. “So I propose the companies in Medicare get prior authorization from CMS before they’re allowed to impose prior authorization on doctors who are practicing in successful accountable care organizations” that have a proven track record of providing efficient patient care. “No prior authorization without prior authorization.”
“Billing and insurance-related costs still total nearly...
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