The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a report this week revealing that Medicare Advantage (MA) organizations denied a significant portion of prior authorization requests for medical services in 2022. The findings highlight that major insurers, including UnitedHealthcare, CVS Health, and Humana, frequently rejected requests for long-term…
Federal investigators have issued two alarming reports this week revealing that Medicare Advantage (MA) plans frequently deny medically necessary requests for short-term nursing home stays and inpatient rehabilitation services. The U.S. Department of Health and Human Services Office of Inspector General (OIG) found that these private insurance alternatives to traditional Medicare are increasingly using restrictive…
Federal investigators have identified significant barriers for seniors enrolled in Medicare Advantage plans, revealing that private insurers frequently deny requests for essential short-term nursing home care and inpatient rehabilitation services. Two independent reports from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that these denials often stem from…