Medical Economics August 16, 2023
Richard Payerchin

Legislation that would speed up treatment reviews is piling up. Will Congress or CMS act first?

A physician lawmaker is joining the fight against prior authorizations (PAs) that bog down medical care, frustrating physicians and patients alike – and sometimes jeopardizing treatments.

Rep. Mark Green, MD (R-Tennessee), announced he has reintroduced the “Reducing Medically Unnecessary Delays in Care Act” to address PAs in Medicare and Medicare Advantage plans. The bill also has changes in store for PAs for prescription drugs under Medicare.

“A physician should be the one determining a patient’s course of treatment. Prior authorization is a roadblock to care – equivalent to a bureaucrat in the waiting room,” Green said in a statement.

“Medicare and Medicare Advantage plan...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare, Medicare Advantage, Physician, Provider
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