Medicare Advantage insurers received about 46.2 million prior authorization requests in 2022, up from 36.5 million in 2021, according to a recent KFF report. Of these 46.2 million requests, 7.4% (3.4 ...

The Improving Seniors' Timely Access to Care Act, on the strength of overwhelming support, now heads to the Senate. The widely-supported legislation that aims to reform prior authorization in Medicare ...

The House Ways and Means Committee on Wednesday convened a markup session regarding a bipartisan bill, "Improving Seniors' Timely Access to Care Act of 2022," which seeks to modernize the way Medicare ...

ALEXANDRIA, Virginia, April 28 (TNSgov) -- The American Physical Therapy Association issued the following news: In a win for APTA and other organizations fighting to reduce administrative burden, the ...

There were 35.2 million prior authorization requests submitted to Medicare Advantage plans for healthcare services in 2021, and 2 million of those were denied, an analysis published Thursday shows.

Medicare Advantage plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers MA patients face in accessing care. An analysis published by ...

In a recent opinion published in JAMA, health policy researchers reviewed the advantages and disadvantages of prior authorization in Medicare Advantage (MA) to identify key areas that need improvement ...

Prior authorization is a common utilization-management tool among Medicare Advantage plans. However, service-, area-, and carrier-level patterns suggest variation in how plans use prior authorization.

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Hundreds of healthcare groups sent a letter to Congress this week urging lawmakers to pass a bill to protect growing numbers of Medicare Advantage (MA) beneficiaries from prior authorization ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Over the last several years, prior authorization has become a ...