Press Release (DC Office)

Neurosurgery-Led Coalition Press Release on Prior Auth Rules

  • FOR IMMEDIATE RELEASE
    Monday February 13, 2023
  • Contact:
    Peggy Tighe
    (202) 256-6241

Physician Coalition Applauds CMS for Proposed Rule to Reign in Prior Authorization in MA Program, Offers Recommendations to Strengthen Rule

RRC Concurs with CMS: Prior Authorization Should Not Be Used to Delay or Deny Care

WASHINGTON, DC—Today, the Regulatory Relief Coalition (RRC) — a group of national physician specialty organizations advocating for reduced regulatory burdens that interfere with patient care — submitted comments in strong support of the Centers for Medicare & Medicaid Services (CMS) for its proposed rule on prior authorization in the Medicare Advantage (MA) program.

The RRC commends CMS’s commitment to reigning in the overreaches of MA plans that delay and deny care through utilization management tools like prior authorization (PA). The coalition strongly endorses the regulatory changes in this comprehensive proposal — which closely aligns with the Improving Seniors’ Timely Access to Care Act (S. 3018/H.R. 3173). When finalized, this rule will limit MA plans’ overuse and abuse of PA, reduce barriers to care, lessen provider burden and help ensure that Medicare beneficiaries who enroll in MA plans have the same access to Medicare-covered items and services as beneficiaries who opt for Medicare Fee-for-Service.