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 […]
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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) […]