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Medicare Advantage insurers and prior authorization determinations in 2023
Medicare Advantage members, 99 percent, are required to obtain prior authorization for higher-cost services, such as inpatient hospital stays, skilled nursing facility stays, and chemotherapy. Insurers will use prior authorization and provider networks to manage utilization and lower costs. The Kaiser Family Foundation recently published an article on how many prior authorization determinations were made by Medicare Advantage insurers in 2023. To be connected to this article, click here…
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