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

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

In 2023, Medicare Advantage insurers made nearly 50 million prior authorization determinations. As enrollments in MA plans have grown, the number of prior authorizations has steadily increased ...

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

The increase in prior authorization determinations since 2020 is linked to an increase in MA enrollment, KFF says.

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 ...

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 ...