Nashville, Tenn.-based HCA Healthcare has reported a modest reduction in prior authorization denials for accounts with two midnights or more, but still has "way too many denials," with large Medicare ...
Medicare Advantage’s prior authorization process has resulted in higher denial rates among three of the largest health ...
UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.
Community Health Systems Chief Financial Officer Kevin Hammons said payer denials have doubled from a year ago.
Medicare Advantage plan beneficiaries are essentially being penalized for using the health care that they pay for.
A report released Oct. 17 by the Senate Homeland Security Committee’s investigative subcommittee scrutinizes some of the ...
On October 11, 2024, CMS issued a final rule establishing a new appeals process for Medicare beneficiaries who were initially admitted to a ...
In 2025, fewer Medicare Advantage plans will be available. Some health care providers will stop accepting certain Medicare ...
As Medicare open enrollment begins on Oct. 15 (and continues through Dec. 7), millions of older Americans face the dilemma of ...
If we want to build on the promise of Medicare, then we are going to have to grapple directly with the power of corporate ...
Health systems are more likely to partner with Medicare Advantage plans when plans disclose reasonable claim denial processes ...
Humana faces significant challenges with rising denial rates and customer disenrollment, leading to a sharp decline in stock ...
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