{"id":22928,"date":"2024-06-07T07:51:41","date_gmt":"2024-06-07T11:51:41","guid":{"rendered":"https:\/\/medicarereport.org\/?p=22928"},"modified":"2024-06-07T07:51:42","modified_gmt":"2024-06-07T11:51:42","slug":"d-snp-prior-auth-denial-rates-twice-as-high-as-all-medicare-advantage","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=22928","title":{"rendered":"D-SNP prior auth denial rates twice as high as all Medicare Advantage"},"content":{"rendered":"\n<p>(By Jakob Emerson for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>Dual-eligible special needs plan enrollees are twice as likely to have prior authorization requests denied compared to all other Medicare Advantage members, according to KFF.<\/p>\n\n\n\n<p>According to the analysis, D-SNP carriers received nearly 670,000 prior authorization requests in 2021, which saw a 12% denial rate. The same year, all Medicare Advantage plans (which includes D-SNPs), saw a prior authorization denial rate of 6%.  Continue reading<a href=\"https:\/\/www.beckerspayer.com\/payer\/d-snp-prior-auth-denial-rates-twice-as-high-as-all-medicare-advantage.html\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/payer\/d-snp-prior-auth-denial-rates-twice-as-high-as-all-medicare-advantage.html\"> here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"100\" class=\"wp-image-10021\" style=\"width: 150px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost.jpg 2121w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By Jakob Emerson for Becker&#8217;s Hospital Review) Dual-eligible special needs plan enrollees are twice as likely to have prior authorization<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,16,9,15],"tags":[80,1353,431,67,62,65,94],"class_list":["post-22928","post","type-post","status-publish","format-standard","hentry","category-health-care-finance","category-medicaid","category-medicare-advantage","category-part-dprescription-drugs","tag-cms","tag-d-snp-prior-authorization-denial","tag-dual-eligible","tag-medicaid","tag-medicare-advantage","tag-medicare-part-d","tag-older-adults"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=22928"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22928\/revisions"}],"predecessor-version":[{"id":22929,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/22928\/revisions\/22929"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}