By Health Capital Consultants, LLC
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CMS Proposes Modernizing Prior Authorizations
On December 6, 2022, the Centers for Medicare & Medicaid Services (CMS) proposed a modernization of the prior authorization process for health insurance. The proposed rule seeks to require certain insurers to implement electronic prior authorization, shorten decision timeframes, and make the process more transparent and efficient.
CITE: https://www.r2library.com/Resource/Title/082610254
The rule includes “five key provisions and five Requests for Information,” aiming to “improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.” This Health Capital Topics article will review those provisions and requests for information, as well as stakeholder responses to the proposals. (Read more…)
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Filed under: "Doctors Only", Ethics, Experts Invited, Glossary Terms, Health Economics, Health Law & Policy | Tagged: Health Capital Consultants LLC, Jessica Bailey-Wheaton, Prior Authorization, prior medical authorization, TODD A. ZIGRANG |
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