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Biden administration finalizes prior authorization changes

WASHINGTON — The Biden administration on Wednesday finalized a rule aimed at streamlining health plans’ use of prior authorization, fulfilling a priority of physician groups and many members of Congress.

United statesPeggy tigheSuzan delbeneXavier becerraPyles sutterRegulatory relief coalitionCenters for medicareGroup management association senior viceMedicaid servicesMeans committeeChildren health insurance programHuman servicesGovernment affairs anders gilbergCongressional budget officeMedicare advantageHuman services secretary xavier becerra

A step in the right direction : Payer, provider groups weigh in on new prior authorization rule

Six payer and provider organizations share their thoughts on the prior authorization rule CMS finalized Jan. 17.

United statesMary beth donahueJesse ehrenfeldBlue cross shield associationAmerican medical associationGovernment affairs anders gilbergGroup management association senior viceBetter medicare allianceAmerican hospital associationPrior authorizationHealth information technologyHospital association presidentMedicare advantageMedical association president jesse ehrenfeldRecovery planMedicare alliance president

Congress Must Protect Physicians From Medicare Cuts: MGMA

The Medical Group Management Association offers an analysis of pending legislation that could help health care practices better serve patients.

Anna eshooBrett guthrieAnders gilbergGovernment affairs anders gilbergAccess to laboratory services actSubcommittee on healthHouse committee on energy commerceGroup management associationMedical group management associationHouse committeeExamining medicare proposalsImprove patient accessMinimize red tapeVice president government affairs anders gilbergMedical group managementChair representative brett guthrie

Value-Based Care Could Get Boost by New Bill in Washington

Physicians and health care groups have lined up to support the Value in Health Care Act, which could create new incentives to adopt value-based care.

United statesAmerican hospital associationDistrict of columbiaKim schrierLarry bucshonJessem ehrenfeldDarin lahoodBrad wenstrupSuzan delbeneEarl blumenauerGroup management associationHealth care transformation taskNational associationHealthcare leadership councilFederation of american hospitalsAssociation of american medical colleges

Medical groups stuck in fee for service amid CMS pay cuts

Medical groups argue that continued Medicare payment cuts and the lack of alternative payment models leave them stuck in fee for service.

Government affairs anders gilbergVice presidentHysician pay cutsConversion factorAlternative payment modelFee for serviceMedical groups

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