RRC leads efforts to improve patient access to care through proper regulation of prior authorization and reduction of administrative burdens.
Regulatory Actions
CMS' Request for Information on Medicare Advantage Data
RRC responded to CMS' Request for Information about additional data collection that may be useful with respect to the MA program. In the comments RRC emphasized that additional data collection from MA plans can provide additional insight into the impact of prior authorization.
Read RRC's Comment LetterCMS' Prior Authorization Demonstration for Ambulatory Surgical Center Services
CMS' Prior Authorization Demonstration for Ambulatory Surgical Center Services would require Ambulatory Surgical Centers to obtain prior authorization before providing certain surgical procedures. RRC provided several questions to CMS about this demonstration and expressed concerns regarding the proposed information collection activity.
Read RRC's Comment LetterCMS' Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (Electronic Prior Authorization) Rule
RRC championed the electronic prior authorization rule supporting provisions that align with the Seniors' Timely Access to Care Act and recommended improvements to transparency requirements and decision timeframes for prior authorization. RRC provided comments to CMS when the rule was proposed, and the rule was finalized on January 17, 2024.
Read RRC's Comment Letter