Prior Authorization in Medicare Advantage Plans: How Often Is It Used?

(By Gretchen Jacobson and Tricia Neuman for Henry J. Kaiser Family Foundation)

This year, during the annual Medicare Open Enrollment period, more than 60 million people on Medicare have the opportunity to choose between traditional Medicare and Medicare Advantage plans. In making this decision, they are encouraged to take into account a number of factors, including premiums, cost-sharing, extra benefits, drug coverage, quality of care, and provider networks. A potentially overlooked consideration is access to covered services; specifically, how prior authorization may affect beneficiaries’ access to covered services. Continue reading here…

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