CMS Proposed Rules on Prior Authorization and Medicare Advantage Jan 24

January 24, 2023

3:00–4:00 p.m. ET; 2:00–3:00 p.m. CT; 12:00–1:00 p.m. PT

The Centers for Medicare & Medicaid Services (CMS) recently released several proposed rules focused on prior authorization and Medicare Advantage: new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information; a related proposed rule that would adopt standards for health care attachments transactions; and its proposed Policy and Technical Changes to the Medicare Advantage (MA) and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024, which contains a series of provisions to increase oversight of MA plans and better align them with traditional Medicare. AHA staff will summarize the key provisions of the proposed rules, provide an opportunity for Q&A, and solicit hospital and health system input into AHA commentary and advocacy.