Private Medicare Denies Long-Term and Rehab Care at Exceedingly High Rates

Report finds high denial rates at UnitedHealth, two other Medicare Advantage plans

The nation’s largest for-profit Medicare Advantage insurers denied pre-approval requests for post-hospital care 51% to 80% of the time, the study says. The industry says the findings paint a flawed picture.

Private Medicare Denies Long-Term and Rehab Care at Exceedingly High Rates

(MedPage Today) -- An HHS Office of Inspector General (OIG) report found that among 19 Medicare Advantage organizations, the three largest denied prior authorization requests for care in long-term care hospitals (LTCHs) and inpatient rehabilitation...

These private Medicare plans denied specialized care at highest rates

Large private health insurance companies routinely denied requests to get rehabilitation or other post-hospital specialized care, federal agency says.

A suspicious denial pattern in Medicare Advantage

Medicare insurers make it hard for seniors to get rehab care, drug spending surges in Medicare Part D, and more from STAT's D.C. Diagnosis.

Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds

UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from the agency’s inspector general.