CMS prior authorization final rule explained with AMA President Jesse M. Ehrenfeld, MD, MPH

AMA advocacy scores a big win for prior authorization reform with the Centers for Medicare & Medicaid Services Final Prior Authorization and Interoperability Rule (CMS-0057-F). AMA President Jesse M. Ehrenfeld, MD, MPH, joins to break down the three reasons why this final rule is so important for patients and physicians and how it is expected to save practices $15 billion over the next decade. Plus, what’s ahead for AMA advocacy efforts on prior authorization reform in 2024. American Medical Association CXO Todd Unger hosts.
🆕 AMA President Dr. Ehrenfeld on $15 billion win for physicians to improve patient care: www.ama-assn.org/about/leader...
📰 Read about the changes coming in CMS Interoperability Rule 2026: www.ama-assn.org/practice-man...
🗣 Get involved! Patients and physicians can share prior authorization stories at: fixpriorauth.org/
📊 Access AMA reports and prior authorization research: www.ama-assn.org/practice-man...
📚 Free prior authorization reform resources and model legislation: www.ama-assn.org/practice-man...
🏛️ Stay up to date on the AMA's advocacy efforts to fix prior authorization: www.ama-assn.org/practice-man...
🩺 The AMA is your powerful ally in patient care. Join now: bit.ly/AMAJoinRenew
00:00 AMA Update for Jan. 25, 2024
00:54 CMS Interoperability and Patient Access final rule
03:12 Prior authorization insurance Medicare Advantage, Medicaid
03:46 Electronic Prior Authorization on EHR (electronic health record)
05:01 Why do prior authorizations get denied?
05:28 CMS final rule prior authorization CMS 0057 F
05:48 CMS prior authorization rule Patient Access API
06:23 Decision Timeframes CMS prior authorization final rule
06:40 How long does prior authorization take?
06:51 How to speed up prior authorization
07:38 Prior authorization for medication and prescription drugs
07:54 Improving Timely Access to Care Act
08:45 State prior authorization legislation
09:08 New Jersey prior authorization legislation
10:35 AMA efforts to fix prior authorization process: bit.ly/AMARecoveryPlan_PriorA...
11:50 Join the fight to #FixPriorAuth
12:04 Prior authorization forms and resources for doctors: fixpriorauth.org
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