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Government Advocacy

August 15, 2019: MGMA Responds to Proposed Electronic Prior Authorization Standard

Advocacy Letter

Health Information Technology

Federal Compliance

August 15, 2019

The Honorable Seema Verma
Centers for Medicare & Medicaid Services
Hubert H. Humphrey Building
202 Independence Avenue, S.W., Room 445-G
Washington, D.C. 20201

Re:CMS-4189-P, Medicare Program; Secure Electronic Prior Authorization for Medicare Part D

Dear Administrator Verma:

The Medical Group Management Association (MGMA) is pleased to submit the following response to the Centers for Medicare & Medicaid Services’ (CMS’) proposed rule establishing a standard for electronic prior authorization (ePA) transactions for Medicare Part D medications. Streamlining access to information will assist both clinicians and patients make informed healthcare decisions and decrease administrative costs for physician practices. While we strongly oppose requiring prior authorization before a clinician can deliver health services to Medicare beneficiaries, when prior authorization is imposed, we support any opportunity to facilitate automation of this highly burdensome process.

MGMA is the premier association for professionals who lead medical practices. Since 1926, through data, people, insights, and advocacy, MGMA empowers medical group practices to innovate and create meaningful change in healthcare. With a membership of more than 45,000 medical practice administrators, executives, and leaders, MGMA represents more than 12,500 practices of all sizes, types, structures, and specialties that deliver almost half of the healthcare in the United States.

Download MGMA's Full Letter Here