Chief Healthcare Executive May 5, 2023
By Ron Southwick

Most medical groups say the requirements have increased over the past year. Providers have been pressing the Biden administration and lawmakers for reforms.

The MGMA says 84% of its members report prior authorization demands in Medicare Advantage plans rose in the past year. (Image credit: ©Freedomz – stock.adobe.com)

Most medical groups say the prior authorization requirements in Medicare Advantage programs are becoming more onerous, even as more seniors are signing up for the plans.

In fact, 84% of medical groups said prior authorization demands in Medicare Advantage plans have increased over the past 12 months, according to a new report by the Medical Group Management Association.

Only 1% of the medical groups surveyed said prior authorization demands...

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Topics: Insurance, Medicare Advantage, Physician, Provider, Survey / Study, Trends
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