A new federal rule seeks to reduce Medicare Advantage insurance plans' prior authorization burdens on physicians while also ensuring that enrollees have the same access to necessary care that they would receive under traditional fee-for-service Medicare. The prior authorization changes, announced this ...
Lawmakers and beneficiary advocates are pressing HHS to pause the impending expansion of a Medicare model that relies on prior authorization to reduce improper ambulance payments, arguing that unless gaps in the program are filled with non-emergency transport, going nationwide will harm patients with ...
There’s also agitation over what’s not included in the CR. Site-neutral payments are not in the bill, and neither is the Improving Seniors’ Timely Access to Care Act. A group called the Regulatory Relief Coalition stated it is “outraged” the electronic prior auth bill was left out of...