www.fiercehealthcare.com Open in urlscan Pro
104.16.239.114  Public Scan

Form analysis
2 forms found in the DOM

GET /search-results

<form action="/search-results" method="get">
  <fieldset class="d-flex align-items-center position-relative input-search"><input type="text" placeholder="Search" name="fulltext_search" class="search-text w-100"><button class="search-submit d-flex align-items-center" id="header-search-submit"
      type="submit" aria-label="search"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="search" class="svg-inline--fa fa-search fa-w-16" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512">
        <path fill="currentColor"
          d="M508.5 468.9L387.1 347.5c-2.3-2.3-5.3-3.5-8.5-3.5h-13.2c31.5-36.5 50.6-84 50.6-136C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c52 0 99.5-19.1 136-50.6v13.2c0 3.2 1.3 6.2 3.5 8.5l121.4 121.4c4.7 4.7 12.3 4.7 17 0l22.6-22.6c4.7-4.7 4.7-12.3 0-17zM208 368c-88.4 0-160-71.6-160-160S119.6 48 208 48s160 71.6 160 160-71.6 160-160 160z">
        </path>
      </svg></button><input type="hidden" placeholder="Search" name="dns" value="fiercehealthcare_com,fiercebiotech_com,fiercepharma_com"></fieldset>
</form>

GET /search-results

<form class="w-100" action="/search-results" method="get">
  <fieldset class="d-flex justify-content-between position-relative input-search"><input type="text" placeholder="Search" name="fulltext_search" class="search-text w-100"><button class="search-submit d-flex align-items-center" id="search-submit"
      type="submit" aria-label="search"><svg aria-hidden="true" focusable="false" data-prefix="far" data-icon="search" class="svg-inline--fa fa-search fa-w-16" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512">
        <path fill="currentColor"
          d="M508.5 468.9L387.1 347.5c-2.3-2.3-5.3-3.5-8.5-3.5h-13.2c31.5-36.5 50.6-84 50.6-136C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c52 0 99.5-19.1 136-50.6v13.2c0 3.2 1.3 6.2 3.5 8.5l121.4 121.4c4.7 4.7 12.3 4.7 17 0l22.6-22.6c4.7-4.7 4.7-12.3 0-17zM208 368c-88.4 0-160-71.6-160-160S119.6 48 208 48s160 71.6 160 160-71.6 160-160 160z">
        </path>
      </svg></button></fieldset>
</form>

Text Content

 * Fierce Pharma
 * Fierce Biotech
 * Fierce Healthcare
 * Fierce Life Sciences Events

 * Advertise
 * About Us



 * Providers
   
   * Hospitals
   * Practices
   * Retail
 * Health Tech
   
   * AI and Machine Learning
   * Digital Health
   * Telehealth
 * Finance
 * Payers
 * Regulatory
 * Trending Topics
   
   * Health Tech for Payers
 * Special Reports
 * Podcasts

 * Resources
   
   * Webinars
   * Fierce Events
   * Industry Events
   * Podcasts
   * Survey
   * Whitepapers
 * Events
   
   
 * Subscribe

Subscribe

 * Providers
   
   * Hospitals
   * Practices
   * Retail
 * Health Tech
   
   * AI and Machine Learning
   * Digital Health
   * Telehealth
 * Finance
 * Payers
 * Regulatory
 * Trending Topics
   
   * Health Tech for Payers
 * Special Reports
 * Podcasts

 * Resources
   
   * Webinars
   * Fierce Events
   * Industry Events
   * Podcasts
   * Survey
   * Whitepapers
 * Events
   
   
 * Subscribe

 * Fierce Pharma
 * Fierce Biotech
 * Fierce Healthcare
 * Fierce Life Sciences Events

 * Advertise
 * About Us




Regulatory


LEGISLATORS URGE CMS TO FINALIZE PRIOR AUTHORIZATION REFORMS—AND GO FURTHER

By Paige MinemyerJun 22, 2023 03:50pm
CongressCenters for Medicare & Medicaid ServicesPrior AuthorizationMedicare
Advantage
Provider organizations such as the American Association of Neurological Surgeons
and the Congress of Neurological Surgeons also joined the chorus, calling for
the regulations to be finalized. (Getty/BrianAJackson)

A bipartisan group of legislators from both chambers of Congress is urging the
Biden administration to finalize updates to prior authorization.




Nearly 300 members of Congress submitted letters to the Department of Health and
Human Services backing rules proposed in December 2022 that aim to modernize
prior auth. In these regulations, the Centers for Medicare & Medicaid Services
(CMS) proposed requiring government payers to switch to electronic prior
authorization by 2026.




If finalized, the changes would extend to Medicare Advantage, Medicaid managed
care, Affordable Care Act exchange plans and state Medicaid agencies.

In the letter, senators said they "appreciate" that the regulations "attempt to
strike a balance between program integrity and patient access to care."


RELATED

Providers press CMS to finalize prior authorization reforms to alleviate major
administrative burdens

"While we agree that [prior authorization], when used appropriately, is an
important tool for payers to managed costs and ensure program integrity, we
support CMS's efforts to protect beneficiaries, increase transparency around PA
requirements and streamline this process for patients, providers and health
plans," they wrote.



In addition, the senators urged CMS to build on the proposals in the rules by
including a mechanism that would enable real-time decisions for routine
approvals, which would shorten delays and reduce provider burden.

The letter also suggests that CMS shorten the window for a response to an
expedited prior authorization request from 72 hours to 24 hours.

"We are concerned that delaying care for up to three days could jeopardize a
patient's life, health or ability regain maximum function," the senators wrote.

The letter from representatives in the House echoes the same language and
recommendations.



Provider organizations such as the American Association of Neurological Surgeons
(AANS) and the Congress of Neurological Surgeons (CNS) also joined the chorus,
calling for the regulations to be finalized.

“Our message to policymakers is simple: our patients cannot afford to wait or
jump through unnecessary hoops to get care for painful, debilitating and
life-threatening neurologic conditions. When finalized, these rules would remove
barriers to patients’ timely access to care and allow physicians to spend more
time treating patients and less time on paperwork,” said Russell R. Lonser,
M.D., chair of the department of neurosurgery at Ohio State University and chair
of the AANS/CNS Washington Committee, in a statement.

PayersProvidersRegulatoryMedicaid Managed Care

Resource Center


Sponsored

EXPLORING WHAT’S BEHIND SURGING DEMAND FOR BEHAVIORAL HEALTH SERVICES

During the pandemic the demand for behavioral health services expanded
exponentially, but the trend was underway long before the arrival of COVID-19.

Sponsored

NAVIGATING OPIOID ABUSE TRENDS WITH SPECIALIZED ON-DEMAND EXPERTISE

Skyrocketing demand for treatment of opioid use disorder is exacerbating the
ongoing strain on limited behavioral and mental health resources. Meanwhile, the
exodus of mental and behavioral health practitioners across the country
continues, leaving fewer resources available for those in need.

LOOKING FOR MORE?

Visit AllMed Healthcare Management's Resource Center for this content and
others!

Our Newsletter







RELATED ARTICLES

Baby feeding support startup SimpliFed now in network for female veterans in
eastern US
Jul 12, 2023 07:25am
Telehealth largely drives fewer in-person follow-up visits, study shows
Jul 11, 2023 10:58pm
Senate proposal would give hospitals $385M for emergency preparedness. The AHA
is pushing for double that amount
Jul 11, 2023 05:00pm
Drug shortages drive up prices for consumers. Here's how they can be avoided
Jul 11, 2023 04:45pm
See more articles
 * Connect
   
   * The Team
   * Advertise
 * Join Us
   
   * Newsletters
   * Resources
   * RSS Feeds
   * Editorial Advisory Council
 * Our Brands
   
   * Fierce Pharma
   * Fierce Biotech
   * Fierce Healthcare
 * Our Events
   
   * Life Sciences Events

©2023 Questex LLC All rights reserved.
Terms of use
Privacy Policy



Close

In order to deliver a personalized and enhanced site navigation, we store
information on how you use the site. By continuing to use this site and access
it's features, you are consenting to our use of cookies. For more information,
please see the Questex Privacy Policy.