SCAI, a member of the Regulatory Relief Coalition (RRC) recently called upon the Senate Finance Committee to hold hearings on the Improving Seniors’ Timely Access to Care Act of 2021 (S. 3018).
The bill would improve prior authorization by:
- Establishing an electronic prior authorization (ePA) program and require MA plans to adopt ePA capabilities
- Requiring the Secretary of Health and Human Services to establish a list of items and services eligible for real-time decisions under an MA ePA program
- Standardizing and streamlining the prior authorization process for routinely approved items and services
- Ensuring prior authorization requests are reviewed by qualified medical personnel
- Increasing transparency around MA prior authorization requirements and their use
- Protecting beneficiaries from any disruptions in care due to prior authorization requirements as they transition between MA plans
Along with fighting Medicare cuts and advocating for better screening and diagnosis of Peripheral Artery Disease, Regulatory Relief remains one of SCAI’s top priorities.
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