What’s the news: Momentum to fix prior authorization is building in the wake of a Department of Health and Human Services Office of Inspector General (OIG) report showing that Medicare Advantage plans delayed and denied patients’ access to medically necessary treatment. They also denied payments to physicians and other health […]
Advantage
Medicare Advantage Prior Authorizations are Often Unnecessarily Denied
A report by the Office of Inspector General (OIG) raises concerns about organizations prioritizing profits over patient access to care. Medicare Advantage organizations (MAOs) often delay or deny services for medically necessary care, even when prior authorization requests meet coverage rules, according to a report by the OIG. A concern […]
Federal report finds Medicare Advantage plans often deny necessary care
May 02, 2022 The U.S. Department of Health and Human Services (HHS) released a report on Thursday that found every year Medicare managed care organizations inappropriately deny medically necessary care to tens of thousands of people enrolled in private Medicare Advantage plans. Investigators from HHS Office of the Inspector General (OIG) […]
Medicare Advantage a boon for Florida seniors
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Although healthcare coverage is a hot-button topic in legislative discussions, it can be hard for the average voter to tell which programs help our community, and how much practical impact they have. But when it comes to Medicare Advantage, the answer is simple: It’s critical. Because of the affordable health […]