Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.
Aetna, Centene and Kaiser Permanente denied at least one in 10 Medicare Advantage prior authorization requests in 2023, ...
House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by health insurers' prior authorization policies for treatments, medications and procedures. The ...
Two Triad N.C. House Republicans plan to reintroduce legislation that would reform how North Carolinians are affected by ...
The challenge of ensuring that all patients have access to affordable, high-quality care will not be solved by setting up ...
A House Republican has proposed a simple way to end complaints about health plan prior authorization programs: eliminate ...
UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...
Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.
An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...
Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.
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