Becker's Healthcare March 28, 2023
Here are six prior authorization updates Becker’s has reported on since March 15:
1. The American Academy of Ophthalmology commented on CMS’ proposed prior authorization rule and suggested four changes.
2. According to the most recent data from the Kaiser Family Foundation, more than 35 million prior authorization requests were submitted to Medicare Advantage plans in 2021. Of those requests, more than 2 million were fully or partially denied by Medicare Advantage insurers.
3. UnitedHealthcare, an insurer of 45 million patients worldwide, announced changes to its prior authorization requirements for gastroenterology care, set to take effect...