""Americans are rightfully fed up with health care bureaucracy, and prior authorization is one of the worst offenders: delaying treatment, driving up costs, and putting paperwork ahead of patients. We need to cut this red tape so providers can deliver timely, high-quality care," Sen. Whitehouse said in a statement."
""For too long, cases of abuse have crept into Medicare Advantage, pulling it away from its core mission of serving America's seniors," said Miller-Meeks in a statement. "As a physician, I've seen how these practices delay care, create unnecessary barriers, and ultimately harm patients.""
The Medicare Advantage Improvement Act of 2026 aims to strengthen oversight of Medicare Advantage as enrollment increases. The bill mandates timely prior authorization approvals, bans retroactive coverage denial, requires public reporting of prior authorization data, prohibits stricter medical necessity standards, and enhances network adequacy for rehabilitation and long-term care hospitals. Lawmakers emphasize the need to reduce healthcare bureaucracy and improve patient care, addressing concerns over delays and administrative barriers in the Medicare Advantage program.
Read at MedCity News
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