CMS Efforts to Reduce Prior Auth Burden

Insurers must halve the length of time they take to respond to prior authorization requests

Insurers may no longer require preapproval for emergency behavioral healthcare.

Insurers have to explain denials and publish data on their decisions.

Patients in active treatment who change carriers must be given at least 90 days before the new insurer can require another prior authorization.

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Modern Healthcare

Author: Seymore Bones

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