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Medicare Advantage Has Become Notorious for Prior Authorization—CMS and Lawmakers Are Taking Action
Eli Cahan. JAMA, 2024-09-24
Topic: Risk, prevention and care in population studies
This Medical News article discusses care denials under Medicare Advantage plans and efforts to streamline the prior authorization process.
Key findings
- This Medical News article discusses care denials under Medicare Advantage plans and efforts to streamline the prior authorization process.
Why it matters
This news article discusses care denials under Medicare Advantage plans and efforts to streamline the prior authorization process. It contains no research findings on treating, curing, or preventing Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 40/100
Published in a top-tier journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 10 / 10 | Tier 1 — top-tier general journal (JAMA) |
| Journal's citation record | 4 / 4 | JAMA: journal h-index 1,011 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2024 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 9 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.2 citations a year over 4 year(s) since 2024 |
| Impact for its field and year | 3 / 6 | Cited 3.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 2 other studies in this library |
| Still being cited | 1 / 4 | Cited 9 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Eli M. Cahan: h-index 13 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Boston Children's Hospital: institution h-index 1,088 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 40 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
May need a subscription OpenAlex found no free copy of the full text (checked 6 Feb 1020), so the publisher may charge for it.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Cahan, E. (2024). Medicare Advantage Has Become Notorious for Prior Authorization—CMS and Lawmakers Are Taking Action. JAMA. https://doi.org/10.1001/jama.2024.13383
Vancouver
Cahan E. Medicare Advantage Has Become Notorious for Prior Authorization—CMS and Lawmakers Are Taking Action. JAMA. 2024. doi:10.1001/jama.2024.13383.
BibTeX
@article{cahan2024-995f950e,
author = {Cahan, Eli},
title = {{Medicare Advantage Has Become Notorious for Prior Authorization—CMS and Lawmakers Are Taking Action}},
journal = {JAMA},
year = {2024},
doi = {10.1001/jama.2024.13383},
url = {https://doi.org/10.1001/jama.2024.13383}
}
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