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, finding that the rates of requests, or submissions from providers and beneficiaries asking the plan to cover a service, remained steady while plan denials increased compared to the previous two years. Rates of appeal remained low, signaling that most enrollees facing a denial had to change treatment plans or go without provider-recommended care. Here…

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