Accountable Care Organizations (ACO)Artificial Intelligence CMS HHS Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs Prior Authorization

Lawmakers are scrutinizing managed care

Eileen Cook October 11, 2023October 11, 2023 AI, Claims Denials and Appeals, CMS, Medicaid, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D

(By Rylee Wilson for Becker’s Hospital Review)

Federal lawmakers have been probing payers on a variety of issues in recent months, raising concerns on prior authorizations, Medicare Advantage costs, artificial intelligence and more.

Here are some of the issues lawmakers have taken up with managed care providers in recent months: Continue reading here…

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