Chief Healthcare Executive November 27, 2024
The CMS introduced a rule to try to reduce denials in MA plans. Hospitals say they’re encouraged by the proposal.
Hospitals and physicians have said they have grown increasingly frustrated by delays in approval for treatment in Medicare Advantage plans.
The Biden administration is taking another crack at reducing what it calls the inappropriate use of prior authorization in Medicare Advantage programs.
On Tuesday, the Centers for Medicare & Medicaid Services introduced a new Medicare Advantage rule with more provisions aimed at reducing some headaches in pre-approval from payers. The steps come as part of the same rule that would also extend Medicare and Medicaid coverage for popular anti-obesity medications, a provision which has gained widespread national attention.
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