Sens. Ron Wyden and Elizabeth Warren are seeking more information from the beleaguered healthcare behemoth after The Guardian found it was incentivizing nursing homes to reduce hospital transfers.| Healthcare Dive
The findings build on other research suggesting that MA insurers restrict care more than they should, especially post-acute services.| Healthcare Dive
Physicians surveyed by the American Medical Association say prior authorization can cause care delays or force patients to abandon treatment. Denials could also increase as insurers adopt AI to review claims.| Healthcare Dive
Mehmet Oz, who previously advocated for expanding the privatized Medicare program, said he would tackle upcoding among MA plans if confirmed.| Healthcare Dive
Researchers suggested that policymakers encourage reinvestment of capital into patient care and limit share buybacks based on the findings.| Healthcare Dive