MedCity News August 17, 2023
U.S. Representative Frank Pallone, Jr. (D-New Jersey) announced that he is looking into high prior authorization denial rates by Medicaid managed care health plans. It follows a report by the Office of Inspector General that found that Medicaid MCOs denied one out of every eight prior authorization requests in 2019.
U.S. Representative Frank Pallone, Jr. (D-New Jersey), Energy and Commerce Committee ranking member, announced Thursday that he is investigating the “high rates” of prior authorization denials by Medicaid managed care health plans.
Prior authorization is an insurance practice that requires patients to receive approval for some healthcare services before they receive the care. The practice is often blamed for causing delays in patient care.
The investigation is in response...
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