Center Insurance & Financial Services’ Post

🏥📝 Great news for patients and healthcare providers! A bipartisan majority from both chambers of US Congress is urging the Centers for Medicare & Medicaid Services (CMS) to finalize a pending federal regulation that would overhaul prior-authorization requirements within Medicare Advantage. This move aims to increase transparency and improve the prior-authorization process, removing barriers to patients’ timely access to care and allowing providers to spend more time treating patients and less time on paperwork. The congressional majority is also urging CMS to establish a mechanism for real-time electronic prior authorization decisions for routinely approved items and services, require that plans respond to prior-authorization requests within 24 hours for urgently needed care, and require detailed transparency metrics. While prior authorization is often used for cost and quality control, a vast majority of physicians report that the protocols lead to unnecessary waste and avoidable patient harm. This move by Congress is a significant step towards fixing prior authorization within Medicare Advantage. For more details, check out the full article: [ https://lnkd.in/g_32Vwth ] #HealthcareReform #MedicareAdvantage #PriorAuthorization #HealthcareNews #HealthNews #Centerinsuranceandfinancialservices #CIFS #Medicare #Lifeinsurance #Healthinsurance #NMO #Aetna #Cigna #Humana #UHC #Devoted #Anthem #Wellcare #Joinus #Teamwork #Sales #Networking #Smallbusiness #Life #Healthylifestyle

Congress to CMS: Finalize plans to streamline prior authorization

Congress to CMS: Finalize plans to streamline prior authorization

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