Prior authorization in Medicare Advantage: 5 numbers to know

Becker's Healthcare February 2, 2023
Rylee Wilson

Medicare Advantage plans fully or partially denied around 6 percent of prior authorization claims in 2021, according to an analysis from Kaiser Family Foundation published Feb. 2.

KFF analyzed data for 515 MA contracts in 2021, accounting for 87 percent of the program’s enrollees.

Here are 5 numbers to know about prior authorization in Medicare Advantage:

1. In 2021, there were 35.2 million prior authorization requests submitted for MA enrollees, accounting for an average of 1.5 requests...

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