On MA prior auth, Congress proposes relief — but CMS is ahead of the game
Effective Aug 10, 2023
Published Aug 14, 2023
Last Reviewed Aug 10, 2023
A couple of new bills — or rather, retreads of old bills — demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). While the success of these bills is not assured, a recent proposed rule shows CMS is willing to move on this issue itself, with Congress serving more as a cheerleader than as a legal authority.
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