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The Impact of the New Prior Authorization Rule

Prior authorization means getting approval from your health plan before scheduling a medical service, but many clinicians and patients say prior authorization has become an administrative nightmare, delaying or even denying needed medical care. In mid-January, the Centers for Medicaid and Medicare Services (CMS) issued a final rule designed to address some of the widespread difficulties. In this conversation, Andrea Preisler, senior associate director of administrative simplification policy at the AHA, Jennifer Cameron, executive director of Patient Access at Children's National Health System…

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