Streamlining Healthcare Access for Seniors: Medicare Advantage Prior Authorization
This act aims to improve the prior authorization process in Medicare Advantage plans. It mandates an electronic prior authorization system and requires faster decisions, reducing waiting times for medical service approvals. It also enhances transparency, giving patients and providers better insight into prior authorization rules.
Key points
Mandates an electronic prior authorization program to speed up approval processes for medical services.
Requires real-time decisions for commonly approved services, reducing patient waiting times.
Increases transparency: Medicare Advantage plans must report prior authorization data and provide access to decision criteria.
Protects beneficiaries by ensuring continuity of care and clear appeal processes for denied requests.
Expired
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