July 31, 2023
Providers | Tea Leaves
  • Lobbying groups representing different camps of the health care industry have come together to urge CMS to reconsider “conflicting regulatory proposals” that require different electronic standards for electronic data exchanges during prior authorization. The American Hospital Association, the American Medical Association, and the Blue Cross Blue Shield Association’s sent a joint letter to CMS Administrator Chiquita Brooks-LaSure addressing the proposed rule-making released by the agency in December 2022. The provider and payer groups told the administrator that, while they appreciate the push to reduce administrative burden and reform prior authorization, the administration must not move forward with the proposed current prior authorization standards provisions that “create the very same costly burdens that administrative simplification seeks to alleviate.” (Article here)