HealthLeaders Media May 5, 2023
Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care.
KEY TAKEAWAYS
The Medical Group Management Association polled 601 medical groups to gauge their experience with prior authorization in Medicare Advantage.
The overwhelming majority of respondents (84%) said prior authorization requirements have increased in the last year, with less than 1% reporting requirements had decreased.
Practices also said the requirements are negatively affecting patients’ access to care, provider costs, and practice workflows.
Despite scrutiny of prior authorization practices in Medicare Advantage (MA), requirements for the administrative process have only grown over the past year, according to a survey by the Medical Group Management Association (MGMA).
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