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ISASS Provides Comments to CMS on Medicare Prior Authorization Policies

ISASS jointed a broad coalition, included the Medical Device Manufacturing Association, in submitting a letter on April 7, 2021, to CMS on growing concerns over the expansion of “prior authorization” requirements in Medicare. This letter echoed concerns conveyed in a bipartisan letter sent to CMS late last year. More than 40 organizations signed the letter representing a large segment of patient and physician organizations, including the American Medical Association, the Federation of American Hospitals, and the American College of Surgeons.

The letter from a broad coalition of health care stakeholders highlights the ongoing concern about how the growing use of prior authorization by Medicare and other payers is imposing unnecessary burdens on patients and delaying their access to medically necessary procedures. Commenters hope that the agency will consider the perspective of this diverse group of stakeholders, delay the implementation of new prior authorization requirements scheduled for July 1, and outline a transparent process that incorporates stakeholder feedback for any future prior authorization proposals.

ISASS will continue to advocate for relief for ISASS members and all providers from the burdens of prior authorization payer policies.

The coalition letter can be viewed here: Prior Authorization letter