In a letter to Sen. Bill Cassidy, R-La., penned by President and CEO Paul Salles, the association said utilization management practices often delay transferring patients to lower levels of care. These delays can take up to five days based on approval.
According to the letter, hospitals have asked Medicare Advantage plans to offer flexibility independent of CMS’ ruling, but the insurers have remained uncooperative.
The letter called on Mr. Cassidy to urge CMS to waive the prior authorization requirement, bringing guidelines in alignment with the Louisiana Department of Health’s temporary removal of the requirement.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.