Becker's Healthcare August 13, 2024
Jakob Emerson

Centene is the most likely to overturn a prior authorization denial decision when appealed, while Humana is the least likely, according to a KFF analysis.

Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, up from 5.8% in 2021. Among those denials, 9.9% were appealed. Among those appeals, 83.2% of denals were overturned.

CVS Health denied the highest percentage of prior...

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Topics: Insurance, Medicare Advantage, Survey / Study, Trends
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