Bill 119 HR 2433, also known as the "Prior Authorization Reform Act of 2021," aims to address the issue of prior authorization in Medicare by ensuring that medical decisions are made by physicians rather than insurance companies.
The bill seeks to streamline the prior authorization process by requiring that decisions be made by healthcare providers who are directly involved in the care of the patient. This would help to eliminate delays in care caused by bureaucratic hurdles and ensure that patients receive timely and appropriate treatment.
Additionally, the bill includes provisions to improve transparency and accountability in the prior authorization process. It requires that insurance companies provide clear and detailed explanations for any denials of prior authorization requests, as well as a process for appealing these decisions.
Overall, the goal of Bill 119 HR 2433 is to prioritize the needs of patients and ensure that medical decisions are made based on the best interests of the individual, rather than financial considerations. By empowering physicians to make these decisions, the bill aims to improve the quality of care for Medicare beneficiaries and reduce unnecessary barriers to treatment.