Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials For Skilled Nursing Facility Admission, Raising Concerns About Initial Denials

On June 3, 2026, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published a report which found that Medicare Advantage organizations overturned nearly all appealed prior authorization denials for skilled nursing facility admission, raising concerns about initial denials. This report highlights new analyses of denial and overturn rates of requests for admission to skilled nursing facilities (SNFs), which provide short-term skilled nursing and/or therapy services to help those recovering from an illness, injury, or surgery . . .