MedPage Today August 13, 2024
— Increase corresponds to a climb in Medicare Advantage enrollment
Use of prior authorization in the Medicare Advantage (MA) program continues to increase, according to a report from KFF.
More than 46 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2022, up from 37 million in 2019, the report found. However, the average number of requests per enrollee was 1.7, the same as in 2019. “The rise in the total number of prior authorization requests corresponded to increasing enrollment in Medicare Advantage and so translated into a similar number of requests per enrollee,” wrote report authors Jeannie Fuglesten Biniek, Nolan Sroczynski, and Tricia Neuman, all of KFF’s Center on Medicare Policy.
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