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Bill mandating electronic prior authorizations may not improve care quality

A bill mandating electronic prior authorization for Medicare Advantage plans has passed the House of Representatives, and as it hangs in the balance of Senate approval, one question remains: What benefits and drawbacks the Improving Seniors’ Timely Access to Care Act offers. The Act, along with mandating the adoption of electronic prior authorization, requires greater levels of transparency, approval rates, and rationale for denied requests. If the bill passes through the Senate as expected, it would then be codified into law by the Centers for Medicare and Medicaid Services potentially as early as 2023.  The bill was first introduced in October 2021 by ​​U.S. Senator Roger Marshall, M.D. (R-Kansas) as a way to “prioritize patients over paperwork,” according to a news release. It has since been lauded for winning bipartisan support and backing from more than 500 organizations that represent patients, physicians and hospitals have endorsed it. But while digitizing prior aut

Executive Roundtable: Can Innovation Alleviate Clinician Burnout?

Executive Roundtable: Can Innovation Alleviate Clinician Burnout?
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