Over 2M prior authorization requests denied by Medicare Advantage yearly

Becker's Healthcare March 17, 2023
Claire Wallace

Prior authorization can delay patient care and cause frustration for physicians, who have to spend hours filling out paperwork every week.

According to the most recent data from the Kaiser Family Foundation, over 35 million prior authorization requests were submitted to Medicare Advantage plans in 2021.

Of those requests, over 2 million were fully or partially denied by Medicare Advantage insurers. Only 11 percent of those denials were appealed....

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