Two experts with leadership roles in the Biden CMS have penned a new article at Health Affairs, on a series of issues with Prior Authorization in Medicare Advantage.
A number of proposals were floated in November 2024 annual Med Adv rulemaking. The outcome of that rulemaking will be up to new Trump officials, when it is finalized in March or April.
(Though not related to Prior Auth, the same November proposed rule contained various paragraphs and protections about transgender and even intergender issues, which will likely be nixed in the final rule. "Equity" was mentioned about 50 times in the proposed rule.)
Find the Health Affairs article by Turco and Seshamani here:
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Separately, AMA releases new data on the burden of prior auth:
