Marshall Reintroduces Bill To Streamline MA Prior Auth With Zero Cost Estimate From CBO

By Jalen Brown / June 12, 2024 at 4:08 PM
Long-stalled legislation requiring Medicare Advantage plans to overhaul their prior authorization processes got a jumpstart Wednesday (June 12) when bipartisan groups of lawmakers in both chambers reintroduced the bill after the Congressional Budget Office (CBO) reduced its price from $16 billion to zero, drawing fanfare from dozens of provider groups that have lobbied to rein in insurers’ coverage hurdles. MA plans would be required to implement an electronic prior authorization (PA) program, enhance transparency reporting, and adhere to decision-making timeframes...

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