Medical Economics June 22, 2023
Richard Payerchin

Bipartisan group of senators, representatives urge regulators to improve process for patients, physicians.

Medicare regulators can’t act fast enough to streamline prior authorizations (PAs) for care for older patients, according to federal lawmakers.

A bipartisan group of senators and representatives signed letters to the U.S. Department of Health and Human Services (HHS) and its Centers for Medicare & Medicaid Services (CMS) urging them “to promptly finalize and implement these changes to increase transparency and improve the prior authorization process for patients, providers, and health plans.”

When used appropriately, PAs are “an important tool for payers to manage costs and ensure program integrity,” said the senators’ letter to HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure.

But the PA process...

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