September 15, 2022
  • The House passed legislation that would streamline prior authorization requirements under Medicare Advantage plans. The Improving Seniors’ Timely Access to Care Act would establish an electronic prior authorization process and reduce how long a health plan can consider a prior authorization request. It would also create a “real-time decisions” process for routinely approved services, require plans to report on their prior authorization use and rate of approvals and denials, and encourage plans to adopt policies that adhere to evidence-based guidelines. (Article here)