Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Ending prior authorization for care, publishing denial rates, and forcing speedy and fair appeals are key steps.

UnitedHealthcare will ease prior authorization requirements for its Medicare Advantage plans, UnitedHealth Group CEO Andrew Witty said Thursday. In his first public remarks since the murder of ...

"So I propose the companies in Medicare get prior authorization from CMS before ... out streamlined paperwork and more ...

and payers must publicly report prior authorization metrics. But Alex Shteynshlyuger, MD, a New York City urologist, noted in a phone interview that the regulation is limited to Medicare Advantage ...

An analysis by KFF released Jan. 28 found that Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023. The finding reflects continued year-over-year increases ...

Medicare sought prior authorization for only about 400,000 patient encounters in 2023, although both plan types had roughly the same number of members then. In 2023, MA plans averaged nearly two ...