HIT Consultant January 26, 2023
In September, the U.S. House of Representatives passed a bill intended to accelerate patient access to care by streamlining prior authorization (PA) processes. The Improving Seniors’ Timely Access to Care Act mandates the adoption of electronic PA for Medicare Advantage (MA) plans and requires plans to offer greater policy transparency, approval rates, and rationale for denials.
With considerable bipartisan support, the legislation has won endorsements from notable leading healthcare trade organizations, including the American Medical Association, the American Hospital Association, the American Academy of Orthopedic Surgeons, and AARP. If the bill passes in the Senate as expected, it could be law in early 2023.
Historically, efforts to remedy the PA process have focused on automating health plans’ existing processes...
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