{"id":23379,"date":"2024-09-23T10:22:12","date_gmt":"2024-09-23T14:22:12","guid":{"rendered":"https:\/\/medicarereport.org\/?p=23379"},"modified":"2024-09-23T10:25:05","modified_gmt":"2024-09-23T14:25:05","slug":"prior-authorization-denials-up-big-in-medicare-advantage","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=23379","title":{"rendered":"Prior authorization denials up big in Medicare Advantage"},"content":{"rendered":"\n<p>By Tanya Albert Henry Contributing News Writer for AMA on September 23, 2024<\/p>\n\n\n\n<p><strong>What\u2019s the news:\u00a0<\/strong>Medicare Advantage enrollees and their physicians in 2022 saw a larger share of their prior authorization requests denied when compared with previous years, according to a recently released\u00a0<a href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/use-of-prior-authorization-in-medicare-advantage-exceeded-46-million-requests-in-2022\/\" target=\"_blank\" rel=\"noreferrer noopener\">KFF analysis<\/a>\u00a0of data that Medicare Advantage insurers submitted to the Centers for Medicare &amp; Medicaid Services (CMS) between 2019 and 2022.  <a href=\"http:\/\/www.ama-assn.org\/practice-management\/prior-authorization\/prior-authorization-denials-big-medicare-advantage\">Here&#8230;<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/iStock_000025513411Small-700x559-medicare-150x150.jpg\" alt=\"\"\/><\/figure>\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\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Tanya Albert Henry Contributing News Writer for AMA on September 23, 2024 What\u2019s the news:\u00a0Medicare Advantage enrollees and their<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,12,200,9],"tags":[61,62,94],"class_list":["post-23379","post","type-post","status-publish","format-standard","hentry","category-aging","category-health-care-general","category-health-insurance","category-medicare-advantage","tag-medicare","tag-medicare-advantage","tag-older-adults"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23379","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\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=23379"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23379\/revisions"}],"predecessor-version":[{"id":23380,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23379\/revisions\/23380"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}