Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Medicare Advantage prior authorization (PA) is the process you go through to get certain services and drugs approved before ...

I am concerned that this practice could undermine the fundamental principle of Medicare, where access to care should be based on health need rather than the ability or willingness to pay. That is why ...

(Bloomberg) -- US officials dropped their appeal of a UnitedHealth Group Inc. lawsuit challenging the federal Medicare program’s quality ratings, a potential boon for insurers protesting the ...

Billions in payments to insurers depend on the quality measure Humana’s lawsuit over a cut to its rating is pending in Texas US officials dropped their appeal of a UnitedHealth Group Inc. lawsuit ...

(Reuters) - The U.S. Centers for Medicare and Medicaid Services on Friday said it would not appeal a court order that it recalculate the public star ratings it gave to UnitedHealth's privately ...

Medicare Star Ratings for the 2025 plan year. Its decision comes days after the agency said it would appeal a November ruling delivered by a federal judge in Texas regarding a lawsuit filed by the ...

(Reuters) - The U.S. Centers for Medicare and Medicaid Services on Friday said it would not appeal a court order that it recalculate the public star ratings it gave to UnitedHealth's privately ...

US Drops Appeal in Case Over UnitedHealth Medicare Plans' Rating By Brendan Pierson (Reuters) - The U.S. Centers for Medicare and Medicaid Services on Friday said it would not appeal a court order ...