Mastering Medicare Advantage Prior Authorization: Tips to Accelerate Your Approval
Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...
Opinion
Prior authorization is a scam. I know because I helped create it.
Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.
Medicare Advantage Plans: Prior Authorization Denial Rates
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...
The Reality Behind Medicare Advantage Prior Authorizations
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
The American Journal of Managed Care6d
Dr Debra Patt on Prior Authorization: Something Has to Give
Debra Patt, MD, PhD, MBA, MPH, warns that prior authorization barriers are delaying critical cancer treatments and urges a ...
Hosted on MSN1mon
The Truth About Medicare Advantage Claim Denials and How You Can Appeal
Medicare Advantage companies use prior authorization to lower ... Review Your Plan’s Appeal Rights In the initial Medicare Advantage denial letter, your plan will tell you how to appeal.
STAT20d
‘Rationing by inconvenience’: Health insurers count on customers not appealing denials
which is laden with prior authorizations that induce delays and denials of coverage. These administrative burdens are quite impactful. Despite appeal processes being in place, researchers at the ...
Modern Healthcare14d
Centene, Aetna, Kaiser lead in Medicare Advantage denials: KFF
Aetna, Centene and Kaiser Permanente denied at least one in 10 Medicare Advantage prior authorization requests in 2023, according to a KFF analysis published Tuesday.