84% of group practices see increase in MA prior authorization requirements: MGMA

Becker's Healthcare May 3, 2023
Andrew Cass

Eight-four percent of group practices surveyed said prior authorization requirements have increased for Medicare Advantage over the past year, while less than 1 percent said those requirements have decreased, according to a May 3 survey from the Medical Group Management Association.

MGMA’s survey includes responses from executives representing 601 group practices, according to the report. The survey was conducted in March.

Six things to know:

1. Forty-six percent of respondents said Medicare Advantage plans were the most burdensome for obtaining prior authorization. Thirty-two percent said commercial plans were the most burdensome, followed by Medicaid (20 percent) and Traditional Medicare (4 percent).

2. Fifty-eight percent of practices saw 15 percent or more of their patients either switch from...

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