A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place ...
Medicaid Managed Care Organizations (MCOs) denied one out of eight prior authorization requests in 2019, according to a new report from the Office of Inspector General (OIG). The OIG review included ...
A report by the Office of Inspector General (OIG) finds Medicaid managed care members may not be receiving all medically necessary services. Medicaid managed care organizations (MCOs) denied one out ...
Implementing a proactive provider outreach program resulted in significantly more prior authorization recertifications and a reduction in time to submission. Objectives: To assess the effectiveness of ...
2025 FEB 28 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting originating in Camden, New Jersey, ...
High rates of prior authorization denials and limited state oversight suggest some Medicaid managed care beneficiaries aren’t able to access necessary medical care, according to a recent report by the ...
Health insurance companies and states will have to resolve prior authorization requests more quickly under a final rule the Centers for Medicare and Medicaid Services published Wednesday. Insurers in ...
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