The American Medical Association has updated its Model Managed Care Contract to reflect recent legal and other changes. New portions of the model contract, now in its third edition, address changes in medical necessity, HIPAA regulations, and prompt payment.
Potential code for prior authorizations on AMA CPT Editorial Panel meeting agenda
March 28th 2024"Good public and economic policy must align costs, benefits, and incentives; currently, all costs are incurred by physician practices, and all financial savings and benefits from prior authorization accrue to health insurance plans, leading to perverse incentives,” says Alex Shteynshlyuger, MD.