Pallone, Wyden Probe MCO-Prior Authorization Denials

Key Democratic health care lawmakers on Thursday (Sept. 28) launched a bicameral investigation into Medicaid managed care organizations’ prior authorization practices after a recent report from the HHS Office of Inspector General found denials of care were more than double the already controversial denial rates in Medicare Advantage. House Energy & Commerce ranking Democrat Frank Pallone (NJ) and Senate Finance Chair Ron Wyden (D-OR) sent letters to large-scale MCOs asking for detailed information related to the reported high rate of...