Medical Economics June 14, 2024
Regarding Medicare physician reimbursement, Marshall says doctors should ‘ask them why they’re cutting your pay.’
The latest version of the Improving Seniors’ Timely Access to Care Act prompted praise from lawmakers and supporters of physicians and patients when it was reintroduced on June 12.
Sen. Roger “Doc” Marshall, MD (R-Kansas), and his staff supplied a summary of what the bill would do within Medicare Advantage (MA):
- Establish an electronic prior authorization (e-PA) process for MA plans including a standardization for transactions and clinical attachments.
- Increase transparency around MA prior authorization requirements and its use.
- Clarify the authority of the U.S. Centers for Medicare & Medicaid Services to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely...
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