{
Harrison Frist

People

}

senate report reveals major insurers deny post-acute care claims using technology

A Senate report reveals that major Medicare Advantage insurers, including Humana, UnitedHealthcare, and CVS, are increasingly using technology to deny prior authorization claims for post-acute care, with Humana's denial rates soaring 16 times higher than its overall rates in 2022. The report criticizes these practices as profit-driven, urging the Centers for Medicare & Medicaid Services to enhance oversight and regulation of prior authorization processes. Insurers defend their actions, claiming compliance with CMS standards, while industry leaders call for accountability to protect patient care.
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United States Dollar Humana Inc. naviHealth CVS Health Corporation UnitedHealthCare of Alabama Inc. Optum Home & Community Care USA Richard Blumenthal Harrison Frist Show more
Regulatory & Legal, News Article
20:00 17.10.2024
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