FOR IMMEDIATE RELEASE:
March 3, 2022
Media Contact:
Emily Dowsett
Associate Director, Public Affairs
edowsett@mgma.com
MGMA Statement on Latest Prior Authorization Data
Anders Gilberg
Senior Vice President, Government Affairs
Medical Group Management Association
“New MGMA data shows physician practices continue to face mounting prior authorization requirements, with nearly 80% reporting that requirements have increased over the past 12 months. Only 2% reported a decrease in prior authorization requirements over the same period. These onerous prior authorization requirements present medical groups with a variety of obstacles — including issues submitting documentation through non-standardized health plan web portals, as well as constantly changing medical necessity requirements and appeals processes — and often result in dangerous delays to patient care and unnecessary increases in administrative overhead. MGMA is once again calling on Congress to pass legislation that would reduce the overall volume and burden of prior authorization requirements, allowing medical groups to focus on delivering high-quality care to the patients they serve.”
###
Explore Related Content
Federal Policy Resource
Status of Medicare Telehealth Waivers
Federal Policy Resource
Implementing the No Surprises Act
Federal Policy Resource
MIPS APM Performance Pathway
Federal Policy Resource
Spotlight: Prior Authorization in Medicare Advantage
Federal Policy Resource
Analysis: Proposed 2022 Medicare Physician Payment and Quality Reporting Changes
Federal Policy Resource
MGMA E/M proposals fact sheet
Federal Policy Resource
MGMA 2018 Regulatory Burden Report
Federal Policy Resource
Comparison of 2018 and 2019 MIPS Policies
Federal Policy Resource
MIPS Payment Adjustments resource
Federal Policy Resource
Primary Care First Alternative Payment Model
More Press Statements
Press Statement
MGMA statement on stopgap funding bill (December 21, 2024)
