Becker's Healthcare September 20, 2022
The American Hospital Association said some Medicare Advantage policies can hurt beneficiaries, contribute to clinician burn and drive up the cost of care.
“Specifically, some MA plans frequently apply more stringent medical necessity criteria than traditional Medicare, apply excessive prior authorization requirements, use inappropriate utilization management tools, and require onerous and duplicative clinical documentation submissions to substantiate the need for services,” the AHA said in a Sept. 14 news release.
The group supports the Medicare Advantage prior authorization reform bill that recently passed in the U.S. House of Representatives, but said...
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