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    Janaury 17, 2024

    Media Contact:
    Emily Dowsett
    Associate Director, Public Affairs

    MGMA statement on CMS’ Interoperability and Prior Authorization final rule

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

    “With prior authorization continuously ranking as the most burdensome regulatory issue facing medical groups, MGMA supports today’s action by CMS to finalize its proposals to streamline and standardize the process. The increased transparency provisions — requiring health plans to provide clarity on the reasoning behind care denials and to publicly report aggregated metrics about their prior authorization programs annually — will help shine a light on the egregious abuse of prior authorization by payers under the guise of looking out for patients’ best interests. This final rule is an important step forward towards MGMA’s goal of reducing the overall volume of prior authorization requests — only then will medical groups find meaningful reprieve from these onerous, ill-intentioned administrative requirements that dangerously impede patient care.”


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