‘Burdensome’ Medicare Advantage prior authorization requirements cause delays or denials at 97% of practices

HealthExec May 5, 2023
Hannah Murphy

Increased enrollment in Medicare Advantage plans is not without its woes for both patients and providers, as a new report details how problematic prior authorization policies are negatively impacting patient care and medical practices.

In March of 2023, the Medical Group Management Association (MGMA) surveyed more than 600 medical groups to better understand the impact of prior authorization (PA) requirements within Medicare Advantage (MA) plans. The responses revealed that 84% of practices have seen an increase in prior authorization requirements within MA over the last 12 months, but the ominous revelations didn’t end there

While this figure is problematic in itself, the report also shines a light on a multitude of negative impacts this increase has caused across the...

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