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

Frederick Health Hospital Faces 5 Lawsuits Following Ransomware Attack

The lawsuits accuse FHH of inadequate cybersecurity, poor breach notification and failing to protect patients from identity theft risks.


Arkansas Methodist Medical Center and Baptist Memorial Health Care to Merge

They have signed a non-binding letter of intent to complete a shared mission agreement to merge the two organizations.


Ground Broken on Intermountain Saratoga Springs Multi-Specialty Clinic

The clinic is scheduled to open and start seeing patients in the fall of 2026.


Electrical Fire Tests Resilience of Massachusetts Hospital

Signature Healthcare Brockton Hospital used opportunity to renovate key systems and components and expand facility operations.


Bomb Threat Alleged at Illinois Hospital

The alleged suspect was taken into police custody, and the threat was determined to be unfounded.


 
 


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.