Proposed Rule On Prior Authorization 2025. Prior authorization policies and procedures may have a disproportionate impact on underserved populations and may delay or deny access to certain services. Cms has released its policy and technical changes for the 2025 contract year for the medicare advantage program.


Proposed Rule On Prior Authorization 2025

The proposed rule establishing standards for ma health plans and part d plans for the 2025 contract year includes provisions to address prior authorization and other types of. Medicare advantage insurers denied 3.2 million (6.4%) prior authorization requests in 2023.

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