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

Enhancing Safety at Hennepin Healthcare with a Screening System

Case study: The system was able to detect 2,500 risk items in less than five months.


Healthcare Workers Outside Butler Memorial Hospital for Increased Workplace Safety

The picketing comes as the nurses and other healthcare staff experience increasing incidents of workplace violence.


TriasMD Set to Open DISC Surgery Center at Carlsbad

With construction finished, it is now being equipped and staffed to take on its first cases.


Columbia Eye Clinic Ensnared in Data Security Incident

It does not have any indications that its electronic medical record system or practice management systems were affected by this incident.


7 Steps for Strategic Technology Integration in Healthcare Facilities

Careful thought about the ways technology can, should and might be used in the future can prevent costly retrofits and ensure seamless system integration.


 
 


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.