New bipartisan bill targets prior authorization in Medicare Advantage

A bipartisan group of lawmakers introduced a new bill to reform prior authorization processes for Medicare Advantage plans.

Advertisement

Three things to know:

1. The proposed Improving Seniors’ Timely Access to Care Act aims to standardize prior authorization processes for Medicare Advantage plans and increase oversight and transparency around the processes.

2. The bill would create an electronic prior authorization process and require HHS to put in place a process for “real-time decisions” on prior authorization for services that are routinely approved. It would also require Medicare Advantage plans to report denial and approval rates to CMS. 

3. Reps. Suzan DelBene, Mike Kelly, Ami Bera and Larry Bucshon introduced the bill.

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.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.