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UnitedHealthcare to Drop Prior Authorization for 1,700 Procedures

Original: UnitedHealthcare Is Dropping Prior Authorization for Roughly 1,700 Medical Procedures in October. Only About 120 Apply to Medicare Advantage, Where It Denied 17% of Standard Requests

UnitedHealthcare says it will eliminate prior authorization requirements for roughly 1,700 medical procedures starting in October. However, only about 120 of those changes apply to Medicare Advantage plans, where the insurer has denied about 17% of standard authorization requests. Critics note the announcement does little for the coverage where denials are most common.

Why now: The insurer's high denial rates for Medicare Advantage are under public scrutiny, making the scope of this policy change contentious.

UnitedHealthcareMedicare Advantage

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