RevCycle Intelligence April 12, 2023
By Victoria Bailey

Healthcare organizations and experts agree that the prior authorization policies in the Medicare Advantage final rule will help reduce administrative burden on providers.

CMS has released its 2024 Medicare Advantage (MA) and Part D Final Rule, which finalized policies on marketing oversight, prescription drugs, and prior authorization processes. Changes to prior authorization policies are particularly meaningful for providers and other healthcare stakeholders, who have been advocating for prior authorization reform for years.

Prior authorization requirements create significant burdens for providers. According to data from the American Medical Association (AMA), physicians complete an average of 41 prior authorizations each week and spend an average of two business days on the processes.

What’s more, 93 percent of physicians reported that patients...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Physician, Provider
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