Medpage Today on MSN22h
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 -- ...
Skilled Nursing News3h
U.S. Senate Subcommittee Raises Alarm Over Medicare Advantage’s Denial of Post-Acute Care
Medicare Advantage’s prior authorization has resulted in higher denial rates among three of the largest health insurance ...
Modern Healthcare8h
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 ...
aha.org6h
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 ...
McKnight's Long-Term Care News7m
Senate report hits top 3 Medicare Advantage insurers over ‘refusal’ of of skilled nursing, other coverage
A Senate report published Thursday blasts the nation’s three largest Medicare Advantage insurers for increasingly limiting access to post-acute care and forcing vulnerable patients into “impossible ...
STAT16h
Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows
The Senate report extensively cites STAT’s investigation of the use of algorithms and artificial intelligence within Medicare ...
Fierce Healthcare8h
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 ...
Becker's Hospital Review5h
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 ...
Medicare Advantage insurers deny care too often, Blumenthal says
A federal report outlines how UnitedHealthcare, Humana, and CVS reject coverage of post-acute care at higher rates than other ...
STAT2d
UnitedHealthcare rolls out new therapy restrictions for Medicare Advantage plans
As of Sept. 1, Medicare Advantage members who need PT, OT, or ST in a physician’s office will need approval from ...
Science Daily10h
Medicare prior authorization affecting plastic and reconstructive surgery didn't have hoped-for effect
A new policy increased wait time for patients, but didn't speed up the move from hospital-based to outpatient-based operations.
Modern Healthcare17h
What health systems seek in Medicare Advantage plan partners
Health systems are more likely to partner with Medicare Advantage plans when plans disclose reasonable claim denial processes ...