Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.

This is not the first time lawmakers have pushed to change state laws requiring approval from insurance companies for ...

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

Money and health insurance red tape remain central to healthcare interest groups such as the American Hospital Association, ...

An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

So that’s the point of the prior authorization is so the doctor writes that newer expensive medication they want the doctor to call them and say, such a date 10 years ago, they tried the cheaper ...

Initiatives include adding new concierge teams to support customers experiencing challenges with claims payments.

The increase in prior authorization determinations since 2020 is linked to an increase in MA enrollment, KFF says.

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