Prior Authorization – medicarereport.org

Tuesday, April 1, 2025

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Artificial Intelligence CMS Health Care Finance Health Insurance Medicare Advantage Prior Authorization

Eileen Cook February 19, 2025February 19, 2025 artificial intelligence algorithm, CMS, Health Insurance companies, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Medicare Advantage in the headlines: 7 updates

(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage insurers are navigating headwinds in 2025, and new data shows prior

Health Care - General Health Care Finance Health Insurance Prior Authorization

Eileen Cook February 13, 2025February 13, 2025 Health Insurers, Healthcare Costs, Healthcare Finance, Obstacles to Care, Prior Authorization

Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care

(By Mike Dennison for KFF Health News) HELENA, Mont. — When Lou and Lindsay Volpe’s son was diagnosed with a

Medicare Advantage Prior Authorization

Eileen Cook January 29, 2025January 29, 2025 Medicare Advantage, Prior Authorization

Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023

(By Jeannie Fuglesten Biniek, Nolan Sroczynski, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Jan 28, 2025)

Health Care - General Legislative Update Prior Authorization

Eileen Cook January 27, 2025January 27, 2025 Indiana, Prior Authorization

Indiana bill puts prior authorization in the crosshairs

(By Andrew Cass for Becker’s Hospital Review) An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates

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

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