OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab

Marissa Plescia / medcitynews - An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates than other MA plans in 2024.The post OIG: 3 Largest MA Insurers Deny Prior Aut…

AI Summary: A federal watchdog report revealed that the largest Medicare Advantage plans are denying prior‑authorization requests for long‑term acute care and inpatient rehabilitation at notably high rates, prompting scrutiny that the benefit design may be limiting medically necessary care to save costs. Regulators and hospitals are now pressing for explanations and fixes.