Medical Economics May 24, 2022
American Hospital Association requesting a task force from the justice department to investigate commercial health insurance companies in the Medicare Advantage program
The American Hospital Association has sent a letter to the U.S. Department of Justice asking for the establishment of a task force to investigate commercial health insurance companies in the Medicare Advantage program that it alleges are routinely denying patients access to service and denying payments to health care providers.
AHA points to the HHS report that found a random sample of denials from one week in 2019 with a denial rate 13% higher for prior authorizations and 18% of payment denials for services that met Medicare criteria and should not have been denied as a basis for...
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