This week AAHKS submitted comments on the Centers for Medicare & Medicaid Services (CMS) Request for Information (RFI) on Medicare Advantage Data, specifically to respond to the RFI’s solicitation of comments regarding data related to prior authorization (PA) in Medicare Advantage (MA). AAHKS urges CMS to adopt policies to ensure future PA rulemaking continues to center the provider-patient relationship in the MA program, including requiring MA organizations to report more granular plan-level data on PA determinations, the decision-making process and reasons for denial and site of service changes. AAHKS also supports developing a standardized reporting process across MA organizations on CMS’ website and making coverage determination policies public, among other comments. For more detail, read the full letter. 

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