On Wednesday, September 14, the House of Representatives passed the Improving Seniors' Timely Access to Care Act. This Act aims to streamline prior authorization practices within the Medicare Advantage (MA) program by creating an electronic prior authorization process, holding MA plans accountable for the timeliness of determinations, improving transparency by requiring MA plans to report to CMS on the extent of their prior authorization use, and prohibiting additional prior authorization for added medically necessary services performed during an invasive procedure that already received prior authorization.
Now is the time to urge your Senators to support passage in the Senate! Please urge your Senators to act on this legislation.
The bill would:
- Create an electronic prior authorization process
- Hold MA plans accountable for the timeliness of determinations
- Improve transparency by requiring MA plans to report to CMS on the extent of their prior authorization use
- Prohibit additional prior authorization for added medically necessary services performed during an invasive procedure that already received prior authorization