January 17, 2024 - MGMA statement on CMS' Interoperability and Prior Authorization final rule

FOR IMMEDIATE RELEASE:
Janaury 17, 2024

Media Contact:
Emily Dowsett
Associate Director, Public Affairs
edowsett@mgma.com
 

MGMA statement on CMS’ Interoperability and Prior Authorization final rule

Anders Gilberg
Senior Vice President, Government Affairs
Medical Group Management Association
 

“With prior authorization continuously ranking as the most burdensome regulatory issue facing medical groups, MGMA supports today’s action by CMS to finalize its proposals to streamline and standardize the process. The increased transparency provisions — requiring health plans to provide clarity on the reasoning behind care denials and to publicly report aggregated metrics about their prior authorization programs annually — will help shine a light on the egregious abuse of prior authorization by payers under the guise of looking out for patients’ best interests. This final rule is an important step forward towards MGMA’s goal of reducing the overall volume of prior authorization requests — only then will medical groups find meaningful reprieve from these onerous, ill-intentioned administrative requirements that dangerously impede patient care.”

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