Provider groups applaud CMS' Medicare Advantage prior authorization reforms

Becker's Healthcare April 7, 2023
Andrew Cass

The American Hospital Association and American Medical Association are among the groups applauding Medicare Advantage prior authorization reforms included in a final rule issued by CMS April 5.

Here are four reactions to the prior authorization changes:

Editor’s note: Responses have been lightly edited for clarity and length.

Anders Gilberg, Senior Vice President of Government Affairs, Medical Group Management Association: MGMA supports today’s action by CMS to finalize its proposals to reign in detrimental prior authorization practices, thereby strengthening the Medicare Advantage program. We are thankful that the agency heeded our call to finalize the continuity of care provision, limiting dangerous disruptions and delays to necessary patient care. By finalizing its proposal to require MA plans to form...

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