Improving Seniors' Access to Care Act (For Medicare Advantage plans)

[Z3Dreamer]

This bill was HR 8487. Somehow it became HR 3173. And it passed the House on 9/15/22. I know that passing the Senate and getting the bill signed are hurdles. I also know that implementation, if passed, could take years. But it is a spot of sunshine. The law hopes to cut down on Medicare Advantage denials. The law hopes to speed up MA pre-authorizations. The law hopes to make MA plans accountable for denials that should have been approved.

https://www.aha.org/news/news/2022-...ported-bill-streamline-ma-prior-authorization

The industry group for MA plans is called the Better Medicare Alliance. From this article, it appears they support this bill.

https://bettermedicarealliance.org/...-improving-seniors-timely-access-to-care-act/

And finally, our friends at AMA want it.
https://www.ama-assn.org/practice-m...ice-vote-sets-us-path-fix-prior-authorization

 

[VanWinkle]

This bill was HR 8487. Somehow it became HR 3173. And it passed the House on 9/15/22. I know that passing the Senate and getting the bill signed are hurdles. I also know that implementation, if passed, could take years. But it is a spot of sunshine. The law hopes to cut down on Medicare Advantage denials. The law hopes to speed up MA pre-authorizations. The law hopes to make MA plans accountable for denials that should have been approved.

https://www.aha.org/news/news/2022-...ported-bill-streamline-ma-prior-authorization

The industry group for MA plans is called the Better Medicare Alliance. From this article, it appears they support this bill.

https://bettermedicarealliance.org/...-improving-seniors-timely-access-to-care-act/

And finally, our friends at AMA want it.
https://www.ama-assn.org/practice-m...ice-vote-sets-us-path-fix-prior-authorization

Bad companies do bad things. Don't insure with a bad company whether it is Medicare Advantage or Medigap. Pick a well known reliable insurance company. Most of us had health Insurance through work and know which were the good reliable plans.

 

[teej1985]

Bad companies do bad things. Don't insure with a bad company whether it is Medicare Advantage or Medigap. Pick a well known reliable insurance company. Most of us had health Insurance through work and know which were the good reliable plans.

It should be irrelevant for Medigap. They just pay the Medicare leftover

 

[CRLLS]

Agreed. Medigap provider has no preapproval process like the Advantage Plans do so delays, which the bill mentioned has, are not at issue. If Medicare approves something, the Medigap provider must cover it too. At least under the rules of the Plan.

 

[VanWinkle]

It should be irrelevant for Medigap. They just pay the Medicare leftover

Delays happen, even with poor Medigap companies. Ask a Senior Health Insurance Program volunteer.