Payers with most MA prior authorization requests, denials

Becker's Healthcare February 2, 2023
Rylee Wilson

Elevance Health has the highest number of prior authorization requests per Medicare Advantage member, while CVS and Kaiser Permanente have the highest rate of denials in 2021, according to an analysis from Kaiser Family Foundation.

The report, published Feb. 2, analyzed data for 515 MA contracts in 2021, accounting for 87 percent of the program’s enrollees.

Here’s how payers compared on prior authorization requests and denial rates

Average number of prior authorization requests per member (2021)

1. Elevance Health (Anthem): 2.9 per member
2. Humana: 2.8...

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