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Medicare Advantage Prior Authorizations: Lower Denial Rates, But Persistent Issues
Medicare Advantage prior authorization practices, though controversial, have lower denial rates (6.4 percent in 2023) than perceived; however, appeals are frequently successful (over 80 percent), and the system causes significant administrative burdens.
Medicare Advantage Prior Authorizations: Lower Denial Rates, But Persistent Issues
Medicare Advantage prior authorization practices, though controversial, have lower denial rates (6.4 percent in 2023) than perceived; however, appeals are frequently successful (over 80 percent), and the system causes significant administrative burdens.
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