Chief Healthcare Executive September 26, 2022
Health groups say requests for authorization are delaying patient care and adding stress to overworked staff. Advocates say a bill to revamp the process for Medicare Advantage plans would help millions.
Physicians and other healthcare advocates have lambasted the process of prior authorization for years, but some are seeing a chance for reform.
Lawmakers in Congress are pushing legislation to streamline the prior authorization process in Medicare Advantage plans, which are utilized by millions of seniors. In prior authorization, physicians and practices must get approval from insurers on certain medications and treatments.
While insurers contend prior authorization is designed at reducing unnecessary treatments and wasteful spending, doctors say the process is too demanding and often results in patients denied medications...
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