In the letters, members of Congress pushed for additional requirements for insurers to lessen burdens for providers, according to a June 21 email sent to Becker’s.
Additional policy requests include a 24-hour deadline for Medicare Advantage insurers to respond to prior authorization requests for urgent patient care, establishing a mechanism for real-time electronic prior authorization decisions for routine services and requiring transparency metrics for the prior authorization process.
“Based on industry growth (due to market demand), robust evidence continues to demonstrate that implementing real-time decisions produces cost savings for health care providers and health plans,” the letter reads.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.