🧵 @AmerMedicalAssn Prez @GeraldHarmonMD stated:
An investigation by @OIGatHHS “into the inappropriate use of #PriorAuthorization by Medicare Advantage plans uncovered information that mirrors physician experiences.”
Read report: oig.hhs.gov/oei/reports/OE…
An investigation by @OIGatHHS “into the inappropriate use of #PriorAuthorization by Medicare Advantage plans uncovered information that mirrors physician experiences.”
Read report: oig.hhs.gov/oei/reports/OE…
2/ “Surveys of physicians have consistently found that excessive authorization controls required by health insurers are persistently responsible for serious harm when necessary medical care is delayed, denied, or disrupted.” #FixPriorAuth
See 2021 survey: ama-assn.org/system/files/p…
See 2021 survey: ama-assn.org/system/files/p…
3/ “The American Medical Association agrees with the federal investigators’ recommendations for preventing inappropriate use of authorization controls to delay, deny and disrupt patient care, but more needs to be done to reform prior authorization.”
4/ “To rein in excessive and unnecessary prior authorization requirements and improve care delivery for America’s seniors, the AMA supports The Improving Seniors’ Timely Access to Care Act (HR 3173 / S 3018).”
5/“HR3173/S3018 would require Medicare Advantage plans to streamline & standardize prior authorization processes & improve the #transparency of requirements.
The proposed federal legislation has gained bipartisan support from more than 300 members in both chambers of Congress.”
The proposed federal legislation has gained bipartisan support from more than 300 members in both chambers of Congress.”
6/ 🎇“The time is now for federal lawmakers to act to improve and streamline the prior authorization process so that patients are ensured timely access to the evidence-based, quality health care they need.”
7/ Read also @nytimes:
Medicare Advantage Plans Often Deny Needed Care, Federal Report Finds: nytimes.com/2022/04/28/hea…
Medicare Advantage Plans Often Deny Needed Care, Federal Report Finds: nytimes.com/2022/04/28/hea…
8/ Read also @USATODAY article:
Watchdog: Private Medicare plans denied nearly 1 in 5 claims that should have been paid
apple.news/AabLx0sUzTtySh…
h/t @BABROD
Watchdog: Private Medicare plans denied nearly 1 in 5 claims that should have been paid
apple.news/AabLx0sUzTtySh…
h/t @BABROD
9/ 🎇What makes it even more outrageous?
🔥MedPAC says freeze physician payment while CMS hikes MA payment.
“Freezing physician payment is also impossible to reconcile when viewed against the nearly 8️⃣% payment increase [CMS] projects for Medicare Advantage plans in 2023.”
🔥MedPAC says freeze physician payment while CMS hikes MA payment.
“Freezing physician payment is also impossible to reconcile when viewed against the nearly 8️⃣% payment increase [CMS] projects for Medicare Advantage plans in 2023.”
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