AAPM&R Advocates on Need for Prior Authorization Reform in Response to CMS RFI on Medicare Advantage

Members & Publications


June 14, 2024

AAPM&R submitted a response on May 28 to a Request for Information (RFI) from the Centers for Medicare and Medicaid Services (CMS) related to data policies under the Medicare Advantage (MA) program. AAPM&R’s comments largely focused on the need for CMS to collect more data related to prior authorization barriers currently impacting PM&R physicians and patients attempting to access rehabilitation care under the MA program.

AAPM&R also cosigned responses to this RFI from the Regulatory Relief Coalition and the Coalition to Preserve Rehabilitation. AAPM&R is a member of both coalitions and works with them to reduce regulatory burdens on physicians and improve access to rehabilitation care for patients.  

If you have any questions or comments on these comments or the need to reform the prior authorization process, please contact the AAPM&R Health Policy team at healthpolicy@aapmr.org.

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.