The Gold Card Act of 2023 was introduced by Rep. Michael C. Burgess, MD, (R-TX) and Rep. Vicente Gonzalez (D-TX) to exempt qualifying providers from requiring prior authorization for a Medicare Advantage (MA) plan year if the provider had at least 90 percent of prior authorization requests approved the preceding year.
“This commonsense bill will pass at the federal level what many states, including Texas, have already enacted,” said Gonzalez. “Bureaucratic red tape should not hinder patients’ ability to receive attention or our medical professionals’ ability to perform preventative or even life-saving care.”
Just 7 percent of Medicare Advantage plans offer gold-carding programs, according to the Medical Group Management Association.
Visit EDGE Advantage to read “CMS Issues New Rules for Prior Authorization Under the Medicare Advantage Program” in the July issue of The O&P EDGE.
CMS Issues New Rules for Prior Authorization Under the Medicare Advantage Program
