October 7, 2020: MGMA joins coalition letter calling for Operating Rules to improve prior authorization

Advocacy Letter - October 6, 2020

Health Information Technology

October 7, 2020

William W. Stead, MD
Chair
National Committee on Vital and Health Statistics
3311 Toledo Road
Hyattsville, MD 20782-2002

Re: Follow-up to August 25 Hearing on Prior Authorization Operating Rules

Dear Dr. Stead:

On behalf of the nation’s hospitals, physicians, patients, and medical group practices represented by our respective organizations, we would like to express our appreciation for the opportunity to provide testimony at the recent hearing held by the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards on prior authorization (PA) operating rules proposed by the Council for Affordable Quality Healthcare (CAQH), Committee on Operating Rules for Information Exchange (CORE) (collectively, the PA Proposed Rules).1 The alarming negative impact of PA-related care delays on health outcomes, as well as significant administrative burdens and costs, makes PA reform a priority issue for both patients and health care professionals. We reiterate our strong support for federal adoption of the PA Proposed Rules due to the anticipated meaningful improvements in automation, efficiency, and transparency.

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