On Wednesday, January 17, 2024, the Biden administration finalized a rule to streamline Medicare Advantage, Medicaid, and other government-sponsored health plans’ use of prior authorization. This final rule will require government-sponsored health plans to have a faster response to prior authorization requests and to include rationale for denied requests.
Having the government finally address prior authorization is a win, however, lawmakers must look at inappropriate denials as well as the time, labor, and the expense clinicians put into fighting health plans through appeals.
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