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HHS announces investigation of MA prior authorization use for post-acute care
The Department of Health and Human Services’ Office of Inspector General last week announced its intent to investigate Medicare Advantage Organizations’ prior authorization denials for post-acute care after a qualifying hospital stay.
Protecting Patient Care with Enhanced Medicare Advantage Oversight and Prior Authorization Changes
For many people, choosing an MA plan is a life-changing event and a significant act of trust, counting on the payer they selected to provide the pre-agreed upon coverage for either current medical needs or those that may arise.