New bipartisan bill targets prior authorization in Medicare Advantage

Listen

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

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.

© Copyright ASC COMMUNICATIONS 2021. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Featured Whitepapers

Featured Webinars