E&C Plans Oversight Hearing On MA Prior Authorization, Spending

The House Energy & Commerce oversight panel will hold a hearing June 28 on the quality of coverage offered by Medicare Advantage plans and, as impetus for the hearing, Committee Chair Frank Pallone (D-NJ) and subcommittee Chair Diana DeGette (D-CO) pointed to a controversial HHS Office of Inspector General report that found MA plans had denied some prior authorization requests even though they met Medicare coverage rules. “We are concerned by a number of reports, including a recent HHS OIG...