Improve Oversight and Transparency of Prior Authorization Use
Legislation has been introduced in the House of Representatives to protect patients enrolled in Medicare Advantage plans from prior authorization requirements that needlessly delay or deny access to medically necessary care. The Improving Seniors' Timely Access to Care Act (H.R. 3173) would require the Centers for Medicare and Medicaid Services (CMS) to regulate the use of prior authorization by Medicare Advantage plans and establish a process to make ‘real-time decisions’ for services that are routinely approved. Further, the plans would be required to offer a process for electronic prior authorization and to report to CMS how extensively they use prior authorization and how often they approve or deny the relevant medications and services.

 

Ask your Congressperson to support H.R. 3173 on behalf of you and your patients today!

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