MedCity News September 16, 2022
Marissa Plescia

The bill sets requirements relating to the prior authorization process for Medicare Advantage plans. The House’s decision is supported by several healthcare advocacy organizations, including Better Medicare Alliance and the American Hospital Association. AHIP, however, neither criticized nor celebrated the passage.

Several senior healthcare advocates are coming out in support of the House of Representatives’ Wednesday decision to pass a prior authorization reformation bill for Medicare Advantage plans.

The bill, HR 3173, establishes three requirements: Medicare Advantage (MA) plans must create an electronic prior authorization program that meets certain standards, such as provide real-time decisions for requests on routine services; publish prior authorization information each year, including the percentage of approved requests and the average response time; and meet quality...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Provider, Regulations
'We're going to keep taking market share': How this Medicare Advantage plan grew membership by 58% in 2024
UnitedHealth secures major legal victory in Medicare Advantage fraud case
Rewarding Medicare Advantage D-SNPs That Provide The Best Value
Sonder Health Plans Taps Cleo for Care Coordination & Family Caregiving Support
Payers ranked by Medicare Advantage special needs plan membership | 2025

Share This Article