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June 12, 2026   
Health Law Weekly

OIG Flags Medicare Advantage Plans’ High Denial Rates of Prior Authorization Requests for Post-Acute Care

  • June 12, 2026
  • Written by AHLA Legal Staff

The three largest Medicare Advantage Organizations (MAOs) covering the bulk of the program's enrollees denied prior authorization requests for care in long term care hospitals (LTCHs) and inpatient rehabilitation facilities (IRFs) at higher rates than most of their peers, according to a new report from the Department of Health and Human Services Office of Inspector General (OIG).

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