Shifting Sands Part 3

By GEORGE BEAUREGARD Fifteen months ago, I wrote in The Health Care Blog about the “incoming tide” of early-onset cancer. At that time, the global rise in the incidence of early-onset cancer in younger people that had occurred over three decades had been noticed and was being monitored by researchers, scientists, and other healthcare professionals. Articles on…

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Medicare Advantage Insurers Made Nearly 53 Million Prior Authorization Determinations in 2024

Nearly 53 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2024, of which 4.1 million (7.7%) were denied. Just 11.5% of denied requests were appealed, though 80.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests were made in traditional Medicare,…

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