AHA reiterates need to quickly finalize CMS prior authorization rule

AHA Oct. 27 urged the Centers for Medicare & Medicaid Services to quickly finalize a proposed rule that would require Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes.

“As noted in our March 2023 comments, the proposed rule is a welcome step toward helping patients obtain timely access to care and helping clinicians focus their limited time on patient care rather than paperwork,” AHA wrote. “In particular, we strongly support the agency’s proposal to create interoperable prior authorization standards to help address the significant burdens that prior authorization creates for patients and providers.”