Search Results: keywords:"electronic prior authorization"

  • S. 4532 — To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
    Status:Introduced in Senate
    Words:2,925

    S. 4532 aims to amend the Social Security Act to set rules about how Medicare Advantage plans use prior authorization for covering services. It mandates that by 2027, Medicare Advantage plans must have an electronic prior authorization system and meet protection standards for...

    Simple Explanation

    S. 4532 is a bill that wants to make sure health plans for older people, called Medicare Advantage, have fair and easy rules when deciding if they'll pay for a doctor's service in the future, using computers to help. By 2027, these plans have to be quick and clear about their decisions and tell people when they say yes or no to paying for a service.