A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
News|Videos|February 22, 2024
On Capitol Hill: Rep. Larry Bucshon, MD, on reforming prior authorizations, part 1
Author(s)Richard Payerchin
A congressman discusses current health care issues in Washington, D.C.
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The “Improving Seniors’ Timely Access to Care Act” would reform the prior authorization process for Medicare Advantage plans. The act had widespread medical and political support in 2022 and still does, but a 2022 cost estimate – at more than $16.24 billion – by the Congressional Budget Office doomed it in the legislature. Rep. Larry Bucshon, MD (R-Indiana), explains.
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