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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.
Five Ways Commercial Insurer Policies Drive Up Costs and Hurt Patients
The AHA is committed to further identifying ways to improve health care system efficiency while providing the highest quality of care.