In 2022, the healthcare industry saw several updates and developments aimed at streamlining the prior authorization process. 

The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that seeks to streamline the process and is expected to save hospitals and medical practices over $15 billion over a decade. 

Other payers, such as Blue Cross Blue Shield of Massachusetts and Florida Blue, are implementing strategies to reform their prior authorization systems. The U.S. House of Representatives passed a bill to reform the Medicare Advantage prior authorization process, and the Governor of Michigan signed a bill that shortens the time insurers have to consider prior authorization requests and provides more information about the process. 

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New Hospital Prior Authorization Changes for 2022 Take Effect in 2023

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