Healthcare Facilities See Increase in Regulatory Burdens

Prior authorization requirements ranked as the top burden for medical practices.

By HFT Staff

An overwhelming majority (89 percent) of medical practices say the overall regulatory burden on their medical practice has increased over the past 12 months, according to the Medical Group Management Association (MGMA)  2022 Annual Regulatory Burden Report. With responses from over 500 medical group practices, survey findings included within the report reveal the true and significant impact of federal regulations on the U.S. healthcare system.  

Even more respondents (97 percent) say a reduction in regulatory burden would allow their practices to reallocate resources toward patient care. Prior authorization requirements once again ranked as the top burden for medical practices, with requirements stemming from the No Surprises Act and Medicare's Quality Payment Program coming in second and third. 

Medical groups continue to face growing challenges with prior authorization, including delays in prior authorization decisions, inconsistent payer payment policies, and processing prior authorizations for routinely approved items and services. Eighty-nine percent of respondents say their practice had to hire or redistribute staff to work on prior authorizations due to the increase in requests. 

"The increase in prior authorization requirements year after year is simply unsustainable," says Anders Gilberg, senior vice president of government affairs at MGMA. "Practices are being forced to divert resources away from delivering care to contend with these onerous and ever-changing requirements. It is time that Congress acts to put commonsense guardrails around prior authorization programs." 

October 21, 2022

Topic Area: Industry News , Maintenance and Operations

Recent Posts

Hospital Websites Too Often Share User Data with Third Parties: Study

User privacy can be compromised by sharing website information with external organizations.

Remote Access Systems Pose Cybersecurity Risk

Attacks can impact a healthcare system’s ability to provide care.

Tampa General Hospital Plans for a Men's Health Center

The plans were made possible through a $6.5 million contribution from the Chivukula family.

How Technology is Evolving Healthcare Design

Emerging technology is changing the way healthcare facilities are designed from the very beginning.

Cedars-Sinai Joins White House AI Consortium

Cedars-Sinai has also joined the TRAIN group, which is led by Microsoft.


FREE Newsletter Signup Form

News & Updates | Webcast Alerts
Building Technologies | & More!


All fields are required. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.