Prior Authorization – medicarereport.org

Thursday, April 3, 2025

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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,

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

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

Health Care - General Health Care Finance Primary Care Prior Authorization

Eileen Cook June 19, 2024June 19, 2024 AMA, Healthcare Costs, Healthcare Finance, Prior Authorization

Prior authorization is ‘wreaking havoc’: AMA survey

(By Mariah Taylor for Becker’s Hospital Review) Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a

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

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency Prior Authorization

Eileen Cook April 11, 2024April 11, 2024 CMS, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Price Transparency, Prior Authorization

Gaps in Medicare Advantage Data Remain Despite CMS Actions to Increase Transparency

(By Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 10, 2024) The Centers

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