Payers and providers came out in support of a new rule from the CMS proposing requirements on certain health insurers in a bid to improve the prior authorization process, though provider groups say there’s more to be done to codify measures into law for Medicare Advantage plans, Healthcare Dive reports.
Previous regulation from the Trump administration targeting prior authorization, a process in which a physician must get the green light from an insurer for medication or treatment before administering it, was heavily criticized by both health insurers and hospitals.
But the rule released Tuesday is getting a warmer initial welcome from the healthcare sector.
“We applaud CMS for putting patients first with a proposed rule that allows them to easily to share their data with entities of their choosing,” said Matt Eyles, president and CEO of insurance lobby AHIP, in a statement. Read more.
