Medicare Advantage Prior Authorization – medicarereport.org

Thursday, April 3, 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

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

CMS Health Care Finance Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook August 9, 2024August 9, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D, MedPAC, Older Adults, Supplemental Benefits

Medicare Advantage in 2024: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization

(By Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Aug 08, 2024)

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

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

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

Cybersecurity Health Insurance HHS Medicare Advantage Prior Authorization

Eileen Cook March 13, 2024March 13, 2024 Cyberattack, Health Insurance, HHS, Medicare Advantage Prior Authorization, Prior Authorization

AHIP, HHS diverge on relaxing prior authorization after Change attack

(By Rylee Wilson for Becker’s Hospital Review) Suspending prior authorization requirements as providers continue to to face disruptions from the

Health Care Finance Medicare - General Medicare Advantage Prior Authorization

Eileen Cook February 26, 2024February 26, 2024 Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

What 3 recent studies found about Medicare Advantage

(By Rylee Wilson for Becker’s Hospital Review) Recent research on Medicare Advantage has uncovered differences in the types of care

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