Use of Prior Authorization in Medicare Advantage Exceeded 46 Million Requests in 2022 August 8, 2024 Issue Brief Medicare Advantage plans denied 3.4 million prior authorization requests for health care services in whole or in part in 2022, or 7.4% of the 46.2 million requests submitted on behalf of enrollees that year. The volume of prior authorization requests, the share denied, the share of denials that were appealed, and the share that were overturned upon appeal varied across Medicare Advantage insurers.
New KFF Poll Finds that Many Older Voters Are Unaware of Medicare Drug Price Negotiation, But Awareness Has Grown May 15, 2024 News Release A new KFF poll finds that many older voters are unaware of the provision in the Inflation Reduction Act that for the first time requires the federal government to negotiate the price of some prescription drugs in the Medicare program, a key campaign issue for President Joe Biden. The 48%…
Congress and the Executive Branch and Health Policy May 27, 2024 Page This Health Policy 101 chapter explores the federal government’s role in health policy for the fragmented U.S. health care system. It examines the impact of the three federal branches and goes into further detail about the Department of Health and Human Services structure and the major congressional committees dealing with health care. It also briefly outlines the federal budgetary and regulatory process.
10 Things to Know About Medicaid Managed Care May 1, 2024 Issue Brief Our updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees, as well as new federal rules that strengthen managed care access standards.
The Politics of Health Care and the 2024 Election May 28, 2024 Page This Health Policy 101 chapter explores how health policy in the U.S. is linked to politics, with the direction of policy influenced by who is in power. Health care is often a major issue in political campaigns, and the chapter examines its potential role in the 2024 election, comparing the positions and records of current president Joe Biden and former president Donald Trump.
What You Need to Know About Medicaid Managed Care, Amid the New Federal Rules May 1, 2024 News Release Managed care is the most common delivery system for Medicaid. Most states (42, including DC) use comprehensive managed care plans to provide care to at least some of their Medicaid enrollees, according to KFF’s updated explainer. Roughly 3 out of 4 Medicaid enrollees receive care through managed care organizations and…