When “prior authorization” becomes a medical obstacle
Slowly but steadily, Marlene Nathanson was recovering. She had a stroke in November 2022 at her home in Minneapolis and spent a week in the hospital; Later, when she arrived at St. Paul's Episcopal Homes for rehabilitation, she could not walk. The weakness of her right arm and hand made her unable to feed herself and her speech remained somewhat slurred.But after three weeks of physical, occupational and speech therapy, "she was making good progress," said her husband, Iric Nathanson. “Her therapists were very encouraging.” Mrs. Nathanson, then 85, had begun getting around using a walker. Her arm was getting stronger and her speech was almost back to normal.Then, one Wednesday afternoon, one of his therapists told the Nathansons that their Medicare Advantage plan had denied a req...