While insurers and providers fundamentally disagree on the usefulness of prior authorization policy, consumers continue to experience delays in treatment.
According to an April 2022 report, the US Department of Health and Human Services’ inspector general found 13% of prior authorization denials by Medicare Advantage plans were for Medicare approved services. The rise in authorization denials is being addressed by state lawmakers, health providers and the insurers. But progress has been slow.
To read Kaiser Health News’ Michelle Andrews report on authorization delays click here
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