Draft Bipartisan Letter To CMS: Tell MA Plans Not To Limit Services With Prior Authorization

Reps. Phil Roe (R-TN) and Ami Bera (D-CA) are asking colleagues to join them on a letter requesting that CMS Administrator Seema Verma inform Medicare Advantage plans they can't use prior authorization to inhibit access to services. The letter follows agency meetings with specialty groups, who also worry prior authorization is limiting care, and a legal analysis that says the extensive use of prior authorization by MA plans has imposed legally problematic barriers to medically necessary services. However, that analysis...