Congress Must Streamline the Medicare Part D Prescription Drug Appeals Process
The Medicare Part D appeals process is an essential safety valve that allows older adults and people with disabilities to
Largely driven by prior authorization, MA and Part D coverage denials leave beneficiaries with only bad options: paying out-of-pocket, going without, or getting embroiled in a daunting and deeply flawed appeals process. Each path can lead to delayed care, abandoned therapies, worse health, and higher costs. Particularly egregious are improper coverage denials, which force people to make this choice unnecessarily. Changes are long overdue. Harmful denials must be curbed, and the appeals systems must be reformed to function as a safety valve—rather than as an inadequate substitute for sound plan decisions and robust federal oversight.
The Medicare Part D appeals process is an essential safety valve that allows older adults and people with disabilities to
The Medicare Part D appeals process is an essential safety valve that allows older adults and people with disabilities to
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