Prior Authorization, Medicare Advantage
Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds
Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, according to a report issued Thursday by the Senate Permanent Subcommittee on Investigations.
Senate report alleges MA insurers abuse prior authorization
Humana, CVS Health and UnitedHealth Group say a Senate panel is mischaracterizing spikes in prior authorization requests and denials for post-acute care.
Senate report scrutinizes Medicare Advantage prior authorization denials for post-acute care services
A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the nation's largest Medicare Advantage insurers for their use of prior authorization and high rates of denials for certain types of care.
‘Absolutely outrageous’ CT senator blasts Medicare Advantage insurers for denying care
Conn., blasted Medicare Advantage providers at a press conference in Hartford on Thursday for denying coverage for certain services through prior authorizations.
Medicare Advantage plans 'intentionally using prior authorization to boost profits': Senate report
The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older adults, according to a report published Oct. 17 by the Senate Permanent Subcommittee on Investigations.
‘Buyer beware.’ Sen. Blumenthal warns seniors about Medicare Advantage plans
Advantage plans promise to cover more services than Medicare alone, but a new report says carriers are denying patients critical rehab care. Insurers call the claims “misleading.”
Fierce Healthcare3d
UnitedHealth, CVS and Humana increasingly deploy AI and deny post-acute care claims, Senate report finds
The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing ...
Skilled Nursing News2d
U.S. Senate Subcommittee Raises Alarm Over Medicare Advantage’s Denial of Post-Acute Care
Medicare Advantage’s prior authorization process has resulted in higher denial rates among three of the largest health ...
How UnitedHealthcare is transforming the prior authorization process for patients and providers
UnitedHealthcare is reducing prior authorization requirements with new initiatives to ease administrative tasks and other ...
Medpage Today on MSN2dOpinion
Doctors, Not AI, Should Authorize Treatments
Last month, California passed a bill ensuring that doctors, not artificial intelligence (AI), have the final say on patients' ...
dermatologyadvisor2d
Prior Authorization in Oncology: Burdens and Barriers to Care
Research suggests that prior authorization has negative effects on patients with cancer and oncology providers.
TimesDaily3dOpinion
Prior authorization must be reformed
As a neurologist, I have the privilege of helping patients manage complex diseases like multiple sclerosis (MS) — a condition ...
The American Journal of Managed Care2d
Exploring the Complex, Ever-Evolving Landscape of Specialty Drug Coverage
Industry experts explore the trends, variations, and implications of utilization management practices in specialty drug ...