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

5 Reasons Engineering is the Edge in Healthcare Master Planning

The most successful plans go further to unlock smarter investments, improve resilience and enable better patient outcomes.


Building an AI-Ready Healthcare Facility 

Creating a secure, standardized data foundation can help facilities teams put AI to work more effectively.


Family Medical Associates of Raleigh Reports April 2026 Data Breach

The investigation has found evidence that between April 18, 2026, and April 20, 2026, an unauthorized actor intermittently accessed some FMAR systems.


Every Detail Matters: A Patient's Story of Healing, Hope and Healthcare Facilities

In the Facilities in Focus season finale, 11-year-old Kendalynn and her mother share how Intermountain Primary Children’s Hospital became more than a place for care.


Geisinger Wyoming Valley Medical Center Tops Off New 11-Story Tower

The expansion will improve the patient experience by transitioning the hospital to all private patient rooms while significantly increasing clinical capacity.


 
 


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.

 
 
 
 

Healthcare Facilities Today membership includes free email newsletters from our facility-industry brands.

Facebook   Twitter   LinkedIn   Posts

Copyright © 2023 TradePress. All rights reserved.