Becker's Healthcare December 8, 2023
Rylee Wilson

A bipartisan group of senators say lawmakers don’t have enough data on Medicare Advantage to properly oversee the program.

Sens. Bill Cassidy, MD, Elizabeth Warren, Marsha Blackburn and Catherine Cortez Masto penned a Dec. 7 letter to CMS Administrator Chiquita Brooks-LaSure. The lawmakers urged the agency to require plans to submit more data on prior authorizations.

The senators asked the agency to require plans to collect more data and to make this data publicly available, including:

  • Prior authorization requests, denials and appeals by service
  • Reasons for prior authorization denials
  • Timeliness of decisions
  • Complete encounter data...

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