Medical Economics February 5, 2025
Key Takeaways
- Prior authorizations create significant barriers to care, particularly for vulnerable populations, and AMGA advocates for their elimination to improve access and health equity.
- CMS’s proposed rule for 2026 aims to collect more data on PAs, but AMGA believes this will confirm known issues rather than solve them.
- AI technology offers potential benefits in healthcare, such as identifying at-risk patients, but also presents challenges in ensuring accurate and equitable patient care.
- Reinterpreting coverage for antidiabetes and antiobesity medications by classifying obesity as a chronic disease could improve access to necessary treatments.
Comments on 2026 rule include suggestions on behavioral health, AI and more.
There’s a new administration in Washington, D.C., but an old problem delaying health care...
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