Prior Authorization – medicarereport.org

Thursday, November 21, 2024

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CMS Health Care - General Health Insurance Medicare - General Prior Authorization

Arlene Sharp September 27, 2024September 27, 2024 CMS, medicare, Prior Authorization

Medicare Advantage Denials Increased Before the Implementation of New Prior Authorization Rules

By Julie Carter for Medicare Rights on September 26, 2024 KFF recently analyzed Medicare Advantage (MA) data on prior authorization,

Medicare Advantage Prior Authorization

Eileen Cook August 13, 2024August 13, 2024 Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Medicare Advantage Plans Denied a Larger Share of Prior Authorization Requests in 2022 Than in Prior Years

(By Chris Lee for The Kaiser Family Foundation Published: Aug 08, 2024) Medicare Advantage plans denied 3.4 million prior authorization

Health Insurance Medicare Advantage Prior Authorization

Eileen Cook August 13, 2024August 13, 2024 Health Insurance companies, Medicare Advantage, Older Adults, Prior Authorization

7 payers cutting prior authorization requirements

(By Rylee Wilson for Becker’s Hospital Review) Several payers are scaling back their prior authorization requirements in an effort to

Medicare Advantage Prior Authorization

Eileen Cook August 7, 2024August 7, 2024 Denial Rates, Medicare Advantage, Medicare Advantage Prior Authorization, Prior Authorization

Medicare Advantage insurers ranked by prior authorization denial rates

(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to

CMS Medicare - General Medicare Advantage Prior Authorization

Eileen Cook August 6, 2024August 6, 2024 CMS, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Use of Prior Authorization in Medicare Advantage Exceeded 46 Million Requests in 2022

(By Jeannie Fuglesten Biniek, Nolan Sroczynski, and Tricia Neuman for The Kaiser Family Foundation Published: Aug 05, 2024) Virtually all

Legislative Update Prior Authorization

Eileen Cook July 11, 2024July 11, 2024 Healthcare Reform, legislative update, Prior Authorization, State of Illinois

Illinois gov. signs prior authorization reform bill

(By Jakob Emerson for Becker’s Hospital Review) Illinois Gov. JB Pritzker has signed a pair of health insurance reform bills

CMS DHS -OIG HHS Medicare Advantage Prior Authorization

Eileen Cook July 8, 2024 CMS, Deny Post-Acute Care, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Prior Authorization

OIG to probe whether Medicare Advantage plans deny post-acute care

(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General will audit Medicare Advantage plans’ use of prior

Artificial Intelligence CMS Medical Technology Medicare Advantage Prior Authorization

Eileen Cook June 26, 2024June 26, 2024 AI, CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Tougher rules needed for Medicare Advantage AI, 51 lawmakers say

(By Rylee Wilson for Becker’s Hospital Review) Lawmakers are pushing CMS to do more to prevent misuse of artificial intelligence

Health Care - General Health Care Finance Primary Care Prior Authorization

Eileen Cook June 19, 2024June 19, 2024 AMA, Healthcare Costs, Healthcare Finance, Prior Authorization

Prior authorization is ‘wreaking havoc’: AMA survey

(By Mariah Taylor for Becker’s Hospital Review) Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a

CMS Health Care Redesign Health Insurance Medicaid Medicare Advantage Prior Authorization

Eileen Cook May 3, 2024May 3, 2024 application programming interfaces (APIs)., CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults, Prior Authorization

Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain

(By Kaye Pestaina, Justin Lo, Rayna Wallace, and Michelle Long for The Kaiser Family Foundation Published: May 02, 2024) As

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