prior authorization news

Medpage Today on MSN17h

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 -- ...

Modern Healthcare12h

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.org10h

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 News7h

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 Healthcare12h

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 Review9h

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 MSN8h

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 ...

Science Daily14h

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.

McKnight's Long-Term Care News4h

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 ...