Prior authorization denials in Medicare Advantage jumped between 2021 and 2022, according to a new analysis from KFF. ... Anthem MA plans had the lowest denial rate at 4.2%, ...

In 2023, Medicare Advantage insurers made nearly 50 million prior authorization determinations. As enrollments in MA plans have grown, the number of prior authorizations has steadily increased ...

Prior authorization requests are more common among some Medicare Advantage insurers than others. In 2021, Anthem received the most requests at about 2.9 per patient. Kaiser Permanente had the least, ...

The OIG examined data from the 15 largest Medicare Advantage companies—including UnitedHealth Group, Humana, CVS Health, Kaiser Permanente and Anthem—over a one-week period in June 2019.

More than two million prior authorization requests, accounting for six percent of the 35 million total requests, were denied by Medicare Advantage (MA) plans in 2021, according to a report by ...