Becker's Healthcare November 27, 2023
Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported Nov. 24.
Lawmakers are putting pressure on CMS to increase oversight of prior authorizations in the program. Earlier in November, 30 U.S. representatives wrote to CMS Administrator Chiquita Brooks-LaSure, asking the agency to require MA plans to report prior authorization data, including reasons for denials.
“It was stunning how many times senators on both sides of the aisle kept linking constituent problems with denying authorizations for care,” Senate Finance Committee Chair Ron Wyden told Politico.
Plans are likely...
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