Easier Medicare Access: Physician-Led Care Decisions
This bill aims to speed up access to medical care for Medicare beneficiaries. It introduces changes to ensure that decisions about medical necessity are made by physicians, not solely by insurance companies. This means citizens can expect faster and more accurate decisions regarding their health.
Key points
Prior authorization decisions under Medicare will be made by physicians, not solely by insurance companies.
Medical criteria for evaluating treatment must be clear, evidence-based, and publicly accessible.
Insurance companies will need to consult with independent physicians when developing prior authorization rules.
All new prior authorization rules must be announced in advance and easily accessible online.
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