Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- ...

Humana, CVS Health and UnitedHealth Group say a Senate panel is mischaracterizing spikes in prior authorization requests and ...

Medicare Advantage’s prior authorization has resulted in higher denial rates among three of the largest health insurance ...

A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the ...

When a Medicare Advantage plan is eliminated, the members can return to traditional Medicare and buy a Medigap supplement ...

The Senate report extensively cites STAT’s investigation of the use of algorithms and artificial intelligence within Medicare ...

The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing ...

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 ...

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 ...

A federal report outlines how UnitedHealthcare, Humana, and CVS reject coverage of post-acute care at higher rates than other ...

As of Sept. 1, Medicare Advantage members who need PT, OT, or ST in a physician’s office will need approval from ...

Health systems are more likely to partner with Medicare Advantage plans when plans disclose reasonable claim denial processes ...