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Improving Seniors’ Timely Access to Care Act of 2022
3/8/2023, 7:59 PM
Summary of Bill HR 8487
One key aspect of the bill is the implementation of a standardized electronic prior authorization process for Medicare Advantage plans. This process is designed to simplify and expedite the approval of necessary medical treatments and services for seniors, reducing delays in care and improving overall access to healthcare.
Additionally, the bill includes provisions to improve transparency and accountability in Medicare Advantage plans, requiring plans to report data on prior authorization and appeals processes. This information will help identify areas for improvement and ensure that seniors are receiving the care they need in a timely manner. Overall, the Improving Seniors' Timely Access to Care Act of 2022 aims to enhance the healthcare experience for senior citizens by reducing administrative barriers and improving access to necessary medical treatments and services. By streamlining processes and increasing transparency, the bill seeks to ensure that seniors can receive the care they need when they need it.
Congressional Summary of HR 8487
Improving Seniors' Timely Access to Care Act of 2022
This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.
Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards, including the ability to provide real-time decisions in response to requests for items and services that are routinely approved; (2) annually publish specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services, relating to the quality and timeliness of prior authorization determinations.



