Becker's Healthcare August 15, 2024
From UnitedHealthcare announcing a start date for its national gold-card program to a California payer cutting nearly a quarter of its requirements, here are eight updates on prior authorization Becker’s has reported since July 11:
1. Centene is the most likely to overturn a prior authorization denial decision when appealed, while Humana is the least likely, according to a KFF analysis.
2. L.A. Care Health Plan removed 24% of its prior authorization requirements.
3. Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to data published by KFF.
4. KFF released a report that analyzes prior authorization activity between healthcare providers and Medicare...
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