4sight Health August 21, 2024
David Burda

Somehow, I end up writing a lot about prior authorization (PA). I’m not sure why. Maybe it’s because we’re pro market-based healthcare reform here at 4sight Health, and PA is an artificial market barrier between buyers (patients) and sellers (providers).

Whatever, as the kids would say, but here comes another blog post on PA that demonstrates what a huge waste of time and money PA really is.

The Kaiser Family Foundation earlier this month released an analysis of PA use by Medicare Advantage (MA) plans. You know MA plans. They’re the private Medicare health plans run by commercial insurers that exaggerate how sick their enrollees are to get paid more by the government, then downplay how sick their enrollees are...

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