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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

Physician groups denounce 4 5% payment cut in final rule

While the Centers for Medicare and Medicaid Services is touting the behavioral health and other benefits of the physician fee schedule final rule released Tuesday, physicians are denouncing its 4.5% payment decrease caused by statutory-mandated cuts. The 2023 Medicare Physician Fee Schedule final rule reflects the end of the temporary 3% supplemental increase from 2022. The

United statesClif gausTochi iroku malizePeter griffith gettyPatricial turnerJack resneck jrAmerican academy of family physiciansGovernment affairs anders gilbergMedicare shared savings programMedicaid servicesNational tour to strengthen mental healthUs preventive services taskNational associationDrug enforcement administrationMental health services administrationWhile the centers for medicare

CMS proposes revoking Most Favored Nation drug pricing model

CMS proposes revoking Most Favored Nation drug pricing model
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Organisation for economicAmerican hospital associationCenters for medicare medicaid serviceGroup management association senior viceGovernment affairs anders gilbergMost favored nation modelEconomic co operationMedicaid serviceMedical group management associationSenior vice presidentஆர்கநைஸேஶந் க்கு பொருளாதாரஅமெரிக்கன் மருத்துவமனை சங்கம்மையங்கள் க்கு மருத்துவ மருத்துவ உதவி சேவைபெரும்பாலானவை சாதகமானது தேசம் மாதிரிபொருளாதார இணை செயல்பாடுமருத்துவ உதவி சேவை