This fact sheet details key findings from our recent data brief with ATI Advisory, which finds that Medicare Advantage beneficiaries report $1,965 less in total annual health spending (out-of-pocket costs and premiums) than those in fee-for-service…
Advocacy
A Deeper Dive on Prior Authorization in Medicare Advantage
May 6, 2022
By Mary Beth Donahue Recently an HHS Office of Inspector General (OIG) report and accompanying New York Times article raised questions about the use of prior authorization in Medicare Advantage. While there are over 28.5…
Fact Sheet
Fact Sheet: Prior Authorization Facilitates Safe, Evidence-Based Care
May 3, 2022 Medicare Advantage health plans use various medical management and care coordination tools to ensure beneficiaries receive the most clinically appropriate and cost-effective care. One such tool is prior authorization, in which the beneficiary’s health care…