Chief Healthcare Executive December 13, 2023
A group of Democratic and Republican senators wants CMS to collect more data on prior authorization denials. Hospitals have said they’re seeing more denials from MA plans.
As Medicare Advantage plans continue to gain more consumers, a bipartisan group of senators is looking for more federal oversight of the plans.
In a letter to the Centers for Medicare & Medicaid Services, the senators urged the agency to collect and release more data about Medicare Advantage plans and how often they are issuing prior authorization requests and payment denials. The lawmakers cited “shortfalls” in the CMS’ collection of data on Medicare Advantage plans.
U.S. Sens. Elizabeth Warren (D-Mass.), Catherine Cortez Masto (D-Nev.), Bill Cassidy (R-La.), and Marsha Blackburn (R-Tenn.), sent the...
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