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    August 16, 2023

    Media Contact:
    Emily Dowsett
    Associate Director, Public Affairs

    MGMA statement on the Reducing Medically Unnecessary Delays in Care Act
    Anders Gilberg
    Senior Vice President, Government Affairs
    Medical Group Management Association


    "MGMA supports H.R. 5213 — the Reducing Medically Unnecessary Delays in Care Act — an important step to reform the prior authorization process within the Medicare and Medicare Advantage programs.  The increase in utilization of overly burdensome prior authorization requirements by health plans leaves medical groups struggling to ensure patients continue to maintain access to medically necessary care. 72% of medical groups report that the clinicians assigned to complete their peer-to-peer reviews by the plans are not from a relevant specialty to the treatment or disease in question — resulting in dangerous delays and flat-out denials. MGMA looks forward to working with our partners in Congress to ensure that no health plan can stand in the way of life-saving healthcare simply to increase their bottom lines."



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