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Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds
Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, according to a report issued Thursday by the Senate Permanent Subcommittee on Investigations.
34 Million Seniors in Medicare Advantage Plans Face Rude Awakening
October 15 marks the first day of open enrollment in Medicare Advantage (MA) plans – a time that will deliver chaos and confusion for many of the 34
What health systems seek in Medicare Advantage plan partners
Health systems are more likely to partner with Medicare Advantage plans when plans disclose reasonable claim denial processes, executives said.
Best Medicare Advantage Dental Plans Of 2024
The vast majority of Medicare Advantage plans include coverage for dental care, according to experts, but vary in terms of which expenses are covered and the network of dentists a plan provides. “Some plans cover dental implants and bridges, while others don’t, for example,” says Topolski.
Insurers cut Medicare Advantage plans, leaving thousands to find new coverage
Thousands of Oregon seniors are set to lose their health plans as some Medicare Advantage carriers cut their offerings in response to rising costs. Moda Health and Summit Health will end their Medicare Advantage plans in Oregon in 2025.
Millions of Seniors Lose Their Medicare Advantage Coverage
Millions of seniors have been told they'll need to find new plans this fall after private insurers cut plans in markets across the country.
Costly mistakes to avoid when choosing a Medicare Advantage plan
Medicare offers many choices, and open enrollment is the time to reevaluate your coverage. In doing so, it is a good idea to forego assumptions and make sure your choices aren’t unnecessarily costing you money you could save by choosing differently.
STAT
21h
A former Medicare official says the program is in trouble, and Medicare Advantage is largely to blame
Medicare
is in trouble, and it’s largely the fault of the
Medicare
Advantage
program that is run by private insurers, ...
aha.org
1h
Senate report scrutinizes Medicare Advantage prior authorization denials for post-acute care services
A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the ...
Becker's Hospital Review
1h
Medicare Advantage plans 'intentionally using prior authorization to boost profits': Senate report
The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older ...
STAT
12h
Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows
The Senate report extensively cites STAT’s investigation of the use of algorithms and artificial intelligence within Medicare ...
2d
on MSN
Changes in store for Medicare Advantage as open enrollment starts
It’s a good idea to review your plans during open enrollment, which begins Tuesday, so you don’t get caught by surprise next ...
Modern Healthcare
1d
How Biden transformed Medicare Advantage
Medicare Advantage underwent a quiet metamorphosis under President Joe Biden. Health insurance companies are still scrambling ...
health.wusf.usf.edu
1h
Medicare enrollment is underway. Recipients should check plans for changes
The open enrollment period began Tuesday and runs through Dec. 7 for 2025 benefits. An AARP drug policy expert says ...
Managed Healthcare Executive
20h
Shift Towards Medicare Advantage Plans Anticipated Amid Rising PDP Premiums and Decreased Options | AMCP 2024
Crescent Moore, Ph.D., Pharm.D., Director of Part D/Pharmacy at BluePeak Advisors, highlights the expected shift of Medicare ...
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Related topics
Oregon
Humana
Prior authorization
Inflation Reduction Act
Clover Health
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