Could 13, 2024 – Vizient, Inc. hosted a coverage briefing entitled “Medicare (DIS)Benefit: How MA Plans are Implementing Insurance policies to Restrict Entry to Care” on Could 8 on the Rayburn Home Workplace Constructing. The briefing, attended by a standing-room-only crowd of greater than 80 congressional employees and trade stakeholders, centered on the disruptions attributable to Medicare Benefit (MA) organizations and the way hospitals are addressing the myriad challenges of guaranteeing well timed and supply seamless care to MA beneficiaries.

The professional panel highlighted ongoing challenges with sure MA plans, together with confusion amongst beneficiaries about their protection, extreme prior authorization denials, reimbursement points, and gaps in knowledge reporting to CMS.

The panelists proposed a number of options to enhance affected person entry and healthcare supply. Suggestions embrace requiring MA plans to have entry to suppliers similar to Medicare, streamlining the prior authorization course of, shortening timelines for responding to denials, and bettering MA knowledge reporting on prior authorizations and denials, amongst different suggestions.

Vizient stays dedicated to working with policymakers, trade stakeholders and healthcare suppliers to advance insurance policies and initiatives that enhance healthcare and affected person care outcomes throughout the nation.

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