The report calls for improved oversight of MA and urges the CMS to update audit protocols and issue new guidance on medical necessity reviews performed by the plans.| Healthcare Dive
Provider groups applauded the move, but said they’d need to see how the requirements are rolled back before passing judgment on whether the step would ease documentation burdens on physicians.| Healthcare Dive
Enrollment in MA plans has steadily increased since 2007, when one in five Medicare beneficiaries were enrolled in a private plan.| Healthcare Dive
Both hospital and payer groups came out in support of the rule finalized Wednesday, finding common ground in the need to streamline prior authorization.| Healthcare Dive
A STAT investigation found artificial intelligence is driving Medicare Advantage denials to new heights, cutting off care for seniors.| STAT