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    April 5, 2023

    Media Contact:
    Emily Dowsett
    Associate Director, Public Affairs

    MGMA statement on prior authorization policies in the 2024 MA and Part D final rule

    Anders Gilberg
    Senior Vice President, Government Affairs
    Medical Group Management Association

    “MGMA supports today’s action by CMS to finalize its proposals to reign in detrimental prior authorization practices, thereby strengthening the Medicare Advantage (MA) program. We are thankful that the agency heeded our call to finalize the continuity of care provision, limiting dangerous disruptions and delays to necessary patient care. By finalizing its proposal to require MA plans to form Utilization Management Committees, CMS will provide greater consistency across MA and Traditional Medicare's coverage decisions and guidelines. This rule is a step in the right direction to adequately address prior authorization reform.”



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