Becker's Healthcare October 2, 2023
Around 6 in 10 adults have experienced problems with their health insurance, according to a Sept. 29 report from KFF, with several problems linked to prior authorization delays and denials from payers.
The report surveyed insured adults who have faced prior authorization delays or denials in the last year. Here are seven things to know about persistent prior authorization issues:
1. Sixteen percent of all insured adults have faced prior authorization issues in the last year, and certain characteristics make denials or delays more likely.
2. About 22 percent of adults with Medicaid experienced prior authorization issues, compared to 11 percent with Medicare and 15 percent with employer-sponsored coverage.
3. Adults who visit physicians more frequently...
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