Medscape April 7, 2023
A new federal rule seeks to reduce Medicare Advantage insurance plans’ prior authorization burdens on physicians while also ensuring that enrollees have the same access to necessary care that they would receive under traditional fee-for-service Medicare.
The prior authorization changes, announced this week, are part of the Centers for Medicare & Medicaid Services’ (CMS’) 2024 update of policy changes for Medicare Advantage and Part D pharmacy plans
Medicare Advantage plans’ business practices have raised significant concerns in recent years. More than 28 million Americans were enrolled in a Medicare Advantage plan in 2022, which is nearly half of all Medicare enrollees, according to the Kaiser Family Foundation.
Medicare pays a fixed amount per enrollee per year to these privately run...
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