Analysis Uncovers Key Insights About Insurers’ Medical Advantage Prior Authorization Decisions
Nearly all people who enroll for Medical Advantage plans are expected to secure prior authorization when they need certain services, such as skilled nursing facility care, in-patient stays at hospitals and services that cost a lot, such as chemotherapy. A recent analysis revealed critical insights about MA prior authorizations in 2023. We share some of them in the discussion below. 50 million applications were made for prior authorizations The data submitted to CMS shows that insurance firms providing MA coverage made 50 million determinations with regard to prior authorization requests. This number conforms to a pattern of steady growth that…