New Public Data on Medicare Advantage Prior Authorization Shows Need for More Clarity

New Public Data on Medicare Advantage Prior Authorization Shows Need for More Clarity

In 2024, The Centers for Medicare & Medicaid Services (CMS) finalized a rule that improved transparency around prior authorization for Medicare Advantage (MA) plans, as well as managed care plans in other programs like Medicaid. Those changes took effect this year. Starting April 1, MA organizations have been required to publicly report and display specific data around prior authorization. While this is an important step in the right direction, …