Payers ranked by prior authorization denial rates
Health insurers denied between 12% and 18% of standard prior authorization requests across Medicare Advantage, Medicaid managed care and ACA marketplace plans in 2025, with wide variation among the largest payers, according to a KFF analysis published Aug. 13. CMS previously finalized a rule requiring certain insurers to publicly report prior auth metrics, including denial […] The post Payers ranked by prior authorization denial rates appeared first on Becker's Payer Issues | Payer News .
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Policy / Regulatory Changes signal via Becker's Payer Issues: "Payers ranked by prior authorization denial rates".
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[DRAFT — verify before any external use] Becker's Payer Issues reports on policy / regulatory changes: Health insurers denied between 12% and 18% of standard prior authorization requests across Medicare Advantage, Medicaid managed care and ACA marketplace plans in 2025, with wide variation among the largest payers, accord…
Note: This is an early signal based on public reporting. Confirm against primary sources before drawing conclusions. Market dynamics may shift as additional information emerges.