“The CMS will be making changes sometime this year to prior authorization regulations, according to CMS Administrator Seema Verma during a speech at the American Medical Association’s National Advocacy Conference in Washington D.C.”
“Verma offered few details on what the changes will be, only mentioning that automation of the process can improve efficiencies. The CMS didn’t immediately respond to a request for additional details.”
“Prior authorization has been of interest to the CMS with the agency hosting 35 listening sessions and analyzing more than 2,000 comments it received from a request for information as part of its Patients over Paperwork initiative…”
“Prior authorization, the process required by insurers and pharmacy benefit managers to approve certain drugs and procedures before they can be administered, has been a point of contention for physicians and patients…” Read the full article here.
Source: CMS to alter prior authorization process this year, Verma says – By Maria Castellucci, February 11, 2020. Modern Healthcare.