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OIG: Frequent MA prior authorization denials for long-term care hospitals, inpatient rehab
A new federal watchdog report dings the three largest Medicare Advantage insurers for frequent prior authorization denials for long-term care hospital and inpatient rehabilitation stays. | A new federal watchdog report dings the three largest Medicare Advantage insurers for frequent prior authorization denials for long-term care hospital and inpatient rehabilitation stays. Another found that initial denials among skilled-nursing facilities were near-unanimously overturned.
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fiercehealthcare.com
Hundreds of hospitals warned over price transparency failings, AP reports
More than 500 hospitals falling short on price transparency requirements have received warnings from the federal government since April, with more “likely” to receive similar…
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CalOptima Health approves $430M rate increase to keep safety-net providers afloat
In response to recent and upcoming Medicaid policy changes, CalOptima Health said it is tapping nearly $430 million of its reserve funds to boost its payments to hospitals and…
