Health Policy News: February 7, 2024


  • CMS outlines policy changes to the prior authorization (PA) process in final rule;
  • CMS creates requirements for payers to follow specific PA decision timeframes, provide reasons for denied PA decisions, and publicly report PA metrics on their website; and
  • The final rule adds a new electronic PA measure for Merit-based Incentive Payment System (MIPS) eligible clinicians.

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