Watchdog flags high denial rates for long-term care in private Medicare plans
TL;DR Summary
A government inspector general report finds that for-profit Medicare Advantage insurers—CVS Health (Aetna), UnitedHealthcare and Humana—denied about 80% of long-term hospital care and inpatient rehab requests, raising concerns that some elderly patients may have been refused medically necessary care and prompting CMS to review coverage practices.
Topics:business#access-to-health-care#health#health-care-costs#health-care-policy#medicare#medicare-health-plans
- Seniors needed long-term care and rehab. Their private Medicare plans said no. The Washington Post
- Private Medicare Plans Often Deny Access to Rehab Care, Analysis Shows The New York Times
- Private Medicare plans erect barriers to rehab care in pursuit of profit, federal investigators find statnews.com
- Big Medicare Insurers Often Deny Requests for Nursing-Home Stays WSJ
- Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds NBC News
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