Gold Carding Policies

Author:

Nair Kavita V.1ORCID,Stuursma Laura1ORCID,Eigenbrod Meghan1ORCID,Cremeen Desiree1ORCID,Ahmed Aiesha1ORCID

Affiliation:

1. Department of Neurology and Pharmacy (KVN), University of Colorado Anschutz Medical Campus; Corewell Health West (LS, AA), Grand Rapids, MI; andAmerican Academy of Neurology (ME, DC), Minneapolis, MN.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference19 articles.

1. The Physician and Administrator-Reported Cost of Drug Utilization Management to Physician Practices: A Cross-Sectional Survey

2. AMA, AHA, AHIP, APhA, BCBS Association, MGMA. Consensus Statement on Improving the Prior Authorization Process. Accessed July 8, 2023. edhub.ama-assn.org/data/multimedia/10.1001ama.2018.0080supp1.pdf

3. Muoio D. Prior authorization reform vital to combat nationwide clinician burnout crisis US surgeon general says. Accessed July 3 2023. fiercehealthcare.com/providers/surgeon-general-current-prior-authorization-practices-fuel-rising-clinician-burnout

4. Grimm C Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns about Beneficiary Access to Medically Necessary Care. Accessed July 3, 2023. oig.hhs.gov/oei/reports/OEI-09-18-00260.pdf

5. Federal Register/Vol. 87 No. 238/Tuesday December 13 2022/Proposed Rules. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 422 431 435 438 440 and 457 Office of the Secretary 45 CFR Part 156 [CMS–0057–P] RIN 0938–AU87 Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations Medicaid Managed Care Plans State Medicaid Agencies Children’s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges Merit-Based Incentive Payment System (MIPS) Eligible Clinicians and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program AGENCY: Centers for Medicare & Medicaid Services (CMS) Department of Health and Human Services (HHS).

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