Medpage Today on MSN13h
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 -- ...
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 ...
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 ...
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 ...
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 ...
TimesDaily22hOpinion
Prior authorization must be reformed
As a neurologist, I have the privilege of helping patients manage complex diseases like multiple sclerosis (MS) — a condition ...
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 ...
The Connecticut Mirror on MSN4h
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 ...
McKnight's Long-Term Care News2m
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 ...
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.
The American Journal of Managed Care6d
Racial and Ethnic Disparities in Prior Authorizations for Patients With Cancer
The prior authorization process for patients with cancer demonstrates fewer days until submission and lower denial rates for Asian patients relative to White patients.