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(Reuters) - Health insurer Cigna Group said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical services.
For example, Cigna says prior authorization can cut the costs of expensive treatments and prescriptions by requiring patients to try lower-cost alternatives. ... New screening denials from Medicare.
Major insurers selling Medicare Part C plans include Aetna, Blue Cross Blue Shield, Cigna, ... In 2022, 3.4 million Medicare Advantage prior authorization determinations were denied, ...
In total, more than 46 million prior authorization requests were submitted to Medicare Advantage insurers in 2022, about 1.7 per enrollee. And 7.4%, or 3.4 million, of those requests were denied.
Prior authorization, or preauthorization, [1] is a utilization management process used by some health insurance companies in the United States to determine if they ...
An effort to improve the prior authorization process in Medicare Advantage plans failed to advance in the Senate in 2022 after the Congressional Budget Office estimated it would cost about $16 ...
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