Payers ranked by prior authorization denial rates

Health insurers denied between 12% and 18% of standard prior authorization requests across Medicare Advantage, Medicaid managed care and ACA marketplace plans in 2025, with wide variation among the largest payers, according to a KFF analysis published Aug. 13. CMS previously finalized a rule requiring certain insurers to publicly report prior auth metrics, including denial […] The post Payers ranked by prior authorization denial rates appeared first on Becker's Hospital Review | Healt...