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 nation's largest Medicare Advantage insurers for their use of prior ... Read More

Senate report alleges MA insurers abuse prior authorization

Humana, CVS Health and UnitedHealth Group say a Senate panel is mischaracterizing spikes in prior authorization requests and denials for post-acute care. Read More

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 ... Read More

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, ... Read More

Medicare Advantage insurers deny care too often, Blumenthal says

A federal report outlines how UnitedHealthcare, Humana, and CVS reject coverage of post-acute care at higher rates than other services. Read More

Senate report hits top 3 Medicare Advantage insurers over ‘refusal’ of of skilled nursing, other coverage

A Senate report published Thursday blasts the nation’s three largest Medicare Advantage insurers for increasingly limiting access to post-acute care and forcing vulnerable patients into “impossible ... Read More

How UnitedHealthcare is transforming the prior authorization process for patients and providers

UnitedHealthcare is reducing prior authorization requirements with new initiatives to ease administrative tasks and other challenges. Read More

Biden Administration Issues Rules To Ensure Parity In Mental Health Coverage

By issuing final rules to fortify mental health coverage parity law, the Biden Administration says it's improving access to mental health and substance use disorder care. Read More

Health Policy News

COVID-19 Vaccination Mandates Boosted Uptake Among Health Care Workers, Study Finds Sep. 3, 2024 — A new study has found that state-level ... to pay more for health insurance. Read More

AHA releases latest Health Care Plan Accountability Update

The AHA Oct. 17 released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other ... Read More

‘Big 3’ Insurance Algorithms Deny 1 in 4 Post-Acute Care Requests: Probe

A Senate investigation found the three largest Medicare Advantage insurers have been increasingly denying seniors claims since adopting AI and algorithms to help streamline the approval process, ... Read More

Health Insurance

Learn More What to Do When Your Doctor Doesn't Take Medicare Is there a way to appeal an insurance denial? Yes, you may appeal an insurers ... your health insurance company with the state ... Read More