Medicare Advantage insurers ranked by prior authorization denial rates

Becker's Healthcare August 6, 2024
Rylee Wilson

Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to data published by KFF.

In a report published Aug. 5, KFF examined data submitted to CMS by Medicare Advantage insurers in 2022.

The number of denials increased slightly from 6% in 2021. CVS Health denied the highest percentage of prior authorization requests in 2021 and 2022. The company denied 13% of prior authorization requests it received in 2022, up from 12% in 2021.

Humana had the highest number of prior authorization requests per member in 2022, at 2.9.

Here’s how major MA insurers compare on the number of prior...

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