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- Title
What Happened to Prior Authorization Reform in 2022 and What is Next?
- Authors
Cordeiro, Branden; Baugh, Nathan
- Abstract
The article revisits the prior authorization reform in the U.S. in 2022 and explores future path of the legislation. It outlines findings from a report on Medicare Advantage plans' prior reauthorization methods and determinations. It considers possible implementation of an interoperable electronic prior authorization process for Medicare Advantage, Medicare and Affordable Care Act (ACA) plans and creation of a Provider Access Application Programming Interface (API).
- Subjects
HEALTH insurance laws; MEDICARE Part C; MEDICARE; HEALTH insurance; PATIENT Protection &; Affordable Care Act
- Publication
Radiology Management, 2023, Vol 45, Issue 1, p9
- ISSN
0198-7097
- Publication type
Article