Care & coverage analytics

Published 2026-01-28; snapshot checked 2026-10-18. These are prior authorization determinations, not all claims denials. The 2019–2022 values come from https://www.kff.org/medicare/medicare-advantage-plans-denied-a-larger-share-of-prior-authorization-requests-in-2022-than-in-prior-years/; 2023–2024 values are reported in the linked 2024 analysis. Published snapshots may differ from later revisions.

Published 2026-01-28; snapshot checked 2026-10-18. The denominator is appealed cases, not all denials. In 2024, 11.5% of denials were appealed. Aggregate outcomes do not predict an individual appeal. The 2022 figure comes from https://www.kff.org/medicare/medicare-advantage-plans-denied-a-larger-share-of-prior-authorization-requests-in-2022-than-in-prior-years/; the 2023 figure is preserved in AMA reporting at https://www.ama-assn.org/practice-management/prior-authorization/fixing-prior-auth-nearly-40-prior-authorizations-week-way.

Published 2026-01-28; snapshot checked 2026-10-18. UnitedHealth Group, Centene Corporation, and Elevance Health are three selected parent companies, not a complete ranking. The all-insurer denial rate was 7.7%. Values are not adjusted for service mix or enrollee health and do not describe every plan.