CMS final rule 2024: The AMA prior authorization win and the pros and cons of prior authorization 🔎🔍
🎞️ · 29.03.2024 · 13:00:01 ··· Freitag ⭐ 0 🎬 0
📺American Medical Association (AMA)
🎬 · 29.03.2024 · 13:00:01 ··· Freitag
😎 · 03.07.2024 · 15:40:29 ··· MiTTwoch
What is the new CMS rule for prior authorization? What is the CMS rule for interoperability? What triggers a prior authorization? Is prior authorization good or bad?
Our guest is Jack Resneck, MD, immediate past president of the American Medical Association. AMA CXO Todd Unger hosts.
📋 CMS final rule 2024 fact sheet: https://www.cms.gov/newsroom/fact-sheets/advancing-interoperability-and-improving-prior-authorization-processes-proposed-rule-cms-0057-p-fact
📺 AMA President Dr. Ehrenfeld explains CMS prior authorization final rule: https://youtu.be/uEjV4CWlMJ4?si=mVsOqLtw_XKOYII-
📰 Read about the changes coming in CMS Interoperability Rule 2026: https://www.ama-assn.org/practice-management/prior-authorization/15-billion-win-physicians-prior-authorization
🗣 Get involved! Patients and physicians can share prior authorization stories at: https://fixpriorauth.org/
📊 Access AMA prior authorization resources and research: https://www.ama-assn.org/practice-management/prior-authorization/prior-authorization-research-reports
📚 Free prior authorization templates and model legislation: https://www.ama-assn.org/practice-management/prior-authorization/prior-authorization-reform-resources
🏛️ Stay up to date on the AMA's advocacy efforts to fix prior authorization: https://www.ama-assn.org/practice-management/prior-authorization/advocacy-action-fixing-prior-authorization
🩺 The AMA is your powerful ally in patient care. Join now: https://bit.ly/AMAJoinRenew
00:00 AMA Update for March 29, 2024
00:57 CMS final rule summary (CMS 0057, CMS interoperability rule)
02:27 CMS prior authorization rule Medicare Advantage (Medicaid, Medicare Part D)
03:27 Prior authorization appeal process (health insurance appeal, insurance denial)
03:44 CMS prior authorization forms on EHR (electronic health record)
04:59 Prior authorization statistics: https://www.ama-assn.org/system/files/prior-authorization-survey.pdf
06:05 What is needed for a prior authorization reform
07:05 Physician story: What is prior authorization in healthcare?
08:45 Prior authorization legislation (Prior authorization laws)
11:20 Prior authorization reform: Health insurance prior authorization rules
12:02 Gold Card prior authorization (gold carding policies, Gold Card Act)
12:21 United Healthcare, Cigna prior authorization
13:34 CMS prior authorization changes and patient access final rule
15:08 AMA efforts on prior authorization policy: https://bit.ly/AMARecoveryPlan_PriorAuthorization
17:18 Medicare prior authorization forms and resources for doctors: fixpriorauth.org
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#fightingfordocs #medicine #futureofhealthcare #physicianadvocacy #healthcare #medical #science #publichealth #patientcare #healthcarereform #healthcarepolicy #paymentreform #fixpriorauth #priorauthorization #HHS #CMS #CMSfinalrule #PatientAccessAPI #patientadvocacy #EHR #healthinsurance #Medicare #amarecoveryplan #AmericanMedicalAssociation
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