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CMS Administrator Dr. Oz and Sec. RFK Jr. Announce Major Insurance Reform on Prior Authorization

Forbes Breaking NewsJuly 7, 202544 min82,190 views
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Addressing Prior Authorization Issues

  • 🎯 85% of Americans report negative impacts from prior authorization issues, making it the top complaint for both patients and providers.
  • 💡 Physicians spend an average of 12 hours per week on paperwork related to prior authorization, leading to frustration and delayed care.
  • 🏥 The Medicare Advantage program, covering 32 million people, saw 3.2 million claims initially denied due to prior authorization requests in 2023.

Industry Collaboration and Pledge

  • 🤝 Over 75% of covered lives in America are represented by insurance companies that have signed a pledge to restore common sense to the prior authorization process.
  • 🕊️ This pledge is described as insurance companies choosing to
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What’s Discussed

Prior AuthorizationCMSHHSMedicare AdvantageInsurance ReformHealthcare SystemPatient CareProvider BurdenAdministrative WasteTransparencyAccountabilityInteroperabilityValue-Based Care
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