Elevance Health has the highest number of prior authorization requests per Medicare Advantage member, while CVS and Kaiser Permanente have the highest rate of denials in 2021, according to an analysis from Kaiser Family Foundation.
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Medicare Advantage plans fully or partially denied around 6 percent of prior authorization claims in 2021, according to an analysis from Kaiser Family Foundation published Feb. 2.
From CMS issuing a proposed rule to streamline the process, to a report indicating a majority of states could introduce bills this year to limit or change the process, here are nine stories about prior authorization Becker's has reported since…
Health Net is launching a "review to renew" campaign to inform its millions of Medicaid members in California about upcoming redeterminations.
CMS released 2023 enrollment figures for government-sponsored health plans Jan. 31.
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UnitedHealthcare will stop mailing overpayment and appeal decision letters to primary and ancillary healthcare providers in 13 states and Washington, D.C., starting May 5.
About 2,000 Blue Cross Blue Shield of Michigan beneficiaries may have someone else's January premium bill, NBC affiliate WDIV reported Jan. 31.
Centene has agreed to pay Indiana more than $66 million to settle allegations it overbilled the state's Medicaid program for pharmaceutical services.
Humana posted revenues of nearly $93 billion in 2022 and a net loss of $15 million in the most recent quarter, according to its year-end earnings report published Feb. 1.
BlueCross BlueShield of Tennessee has completed its first annual health equity report and will use the findings as a benchmark to drive further progress, Andrea Willis, MD, chief medical officer for BCBS Tennessee, said in the Tennessean Jan. 26.