Prior authorization, fee schedule reform must be Congress’ ‘top priority’

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The American College of Rheumatology urged Congress to address challenges in private practice, including prior authorization and Medicare fee schedule issues, after a hearing on the collapse of private practice. The ACR emphasized the need for reform and legislative remedies to address barriers facing independent medicine. Panelists at the hearing highlighted the impact of Medicare fee schedule cuts on patient care and access. The ACR is advocating for the Strengthening Medicare for Patients and Providers Act to address these issues. Prior authorization was also discussed as a barrier to timely and effective patient care, with calls for Congress to eliminate its use.

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