Dr. Ehrenfeld pointed to CMS’ recent rule that, among other effects, will shorten the time frame for prior authorization decisions, according to a Feb. 14 article on AMA’s website. He also pointed to voluntary prior authorization cuts made in 2023 by UnitedHealthcare and Cigna. Additionally, more than 70 prior authorization reform bills have been introduced in 28 states this year.
“The bottom line is that insurers know the pressure is on,” Dr. Ehrenfeld said. “Policymakers know the pressure is on. And the progress, it’s not as fast as we want, but it’s happening, and we can feel good about that.”
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.