1. Some Medicare Advantage Organization denials of prior authorization requests raise concerns about beneficiary access to medically necessary care Publication: Washington, DC : U.S. Department of Health and Human Services, Office of Inspector General, April 2022 Subject(s): Government RegulationInsurance, Health, Reimbursement -- economicsMedicare Part C -- economicsMedicare Part C -- organization & administrationPrior Authorization -- economicsTime-to-TreatmentUnited StatesUnited States. Department of Health and Human Services
2. New York did not ensure that a managed care organization complied with requirements for denying prior authorization requests Publication: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2023 Subject(s): Government RegulationManaged Care Programs -- legislation & jurisprudenceMedicaid -- legislation & jurisprudenceMedicaid -- organization & administrationPrior Authorization -- economicsNew York
