Newsweek May 10, 2024
Medicare Advantage plans could look dramatically different if a new law passes in the Senate.
For years, seniors have complained about prior authorization requirements under some Medicare Advantage plans. The privatized version of Medicare often provides lower out-of-pocket costs but forces patients to choose between pre-approved healthcare providers.
And in many cases, seniors on Medicare Advantage have to get prior authorization approval to access the treatments they need.
All that would change if Democratic Rhode Island Senator Sheldon Whitehouse’s plan gets passed.
Whitehouse argues that insurers with prior authorization requirements on doctors in accountable care organizations should need their own prior approval from the Centers for Medicare and Medicaid Services.
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