A couple of new bills — or rather, retreads of old bills — demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). While the success of these bills is not assured, a recent proposed rule shows CMS is willing to move on this issue itself, with Congress serving more as a cheerleader than as a legal authority.
Cohere Health’s Alina M. Czekai, Vice President of Value-Based Care Strategy & former Senior Advisor to CMS Administrator Seema Verma, who worked on the original rule, sat down with Roy Edroso, Editor, Part B News, to discuss how the legislation would improve transparency within the prior authorization process, reduce physician burden, and result in faster access to patient care.
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About the Author: Alina Czekai
Alina M. Czekai, M.P.H., is Vice President of Value-Based Care Strategy at Cohere Health. Previously, Alina served as a Senior Advisor to CMS Administrator Seema Verma, leading the agency’s relationships with the healthcare industry and maximizing public support for CMS’s priorities and overarching mission. In her current role, she is responsible for devising and executing the company’s strategy for value-based care, including new product development and partnerships.
