After OIG report highlights prior authorization denials,

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

By Michelle M. Stein / June 22, 2022 at 10:10 AM
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...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.