Statement attributed to:
Jack Resneck Jr., MD
President, American Medical Association
“As the American Medical Association (AMA) continues to analyze the details of a new final rule that revises Medicare Advantage and the Medicare prescription drug benefit, an initial read suggests that the Centers for Medicare & Medicaid Services (CMS) has taken important steps toward right-sizing the prior authorization process imposed by Medicare Advantage plans on medical services and procedures. The AMA applauds CMS Administrator Brooks-LaSure for leading the effort to include provisions in this final rule that will ensure greater continuity of care, improve the clinical validity of coverage criteria, increase transparency of health plans’ prior authorization processes, and reduce care disruptions due to prior authorization requirements. The AMA has long advocated for such meaningful prior authorization reforms and Medicare Advantage enrollees will benefit from the important new protections. The AMA looks forward to working with CMS to bring a similar level of reform to Medicare’s drug benefit programs. Through our Recovery Plan for America’s Physicians the AMA is working on every front to right-size prior authorization programs so that physicians can focus on patients rather than insurance obstacles to medically necessary care.”
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About the American Medical Association
The American Medical Association is the physicians’ powerful ally in patient care. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises and, driving the future of medicine to tackle the biggest challenges in health care.
