CMS Finalizes Electronic Prior Authorization Rule to Reduce Barrier to Care and Lessen Physician Burden Associated with Payers’ Prior Authorization Requirements
House and Senate champions issued the following statement on the rule finalization
“Today’s action by CMS is a major win for seniors and their families. These new regulations will make a big difference in helping seniors access the medical care they are entitled to without unnecessary delays and denials due to prior authorization. The regulations will also enable health care providers to focus on delivering better care rather than wasting hours on the phone with insurance companies. While these regulations could have gone further, they will help bring the antiquated prior authorization system into the 21st century with commonsense changes like a streamlined approval process and increased transparency.
Now, Congress must act to cement these gains into law by passing the overwhelmingly bipartisan, bicameral Improving Seniors’ Timely Access to Care Act to ensure seniors are getting the care they’re entitled to and reduce hours of unnecessary burden for physical practices and hospitals.”