OIG: MA Plans Shifting Care into the Home, Denying Providers Payment

Posted Monday, May 9, 2022

According to a report released last week by the Office of the Inspector General, Medicare Advantage plans have limited beneficiaries’ access to care and have denied payments to providers for services that are covered.

“While this study represents only a narrow sample of [MA] beneficiaries and polling data shows that less than half of [MA] beneficiaries have ever experienced a prior authorization themselves, Better Medicare Alliance has strongly supported efforts to streamline and simplify the prior authorization process for patients and providers,” Mary Beth Donahue, president and CEO of the Better Medicare Alliance, said in a press statement. “We look forward to our continued work with policymakers to strengthen [MA] for today’s seniors and tomorrow’s enrollees.”

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