Medicare Advantage Plans Denied 4.1 Million Prior Authorization Requests In 2024

Medicare Advantage plans rejected or partially denied 4.1 million prior authorization requests for medical care in 2024, according to a recent report. The denials represented 7.7% of the nearly 53 million prior authorization requests submitted on behalf of Medicare Advantage enrollees during 2024. During 2023, there were 49.8 million prior authorization requests, and 6.4% were denied.

Prior authorization requires health care provider organizations to obtain insurer approval before delivering certain services or medications to health care consumers. Data for the analysis was submitted by Medicare Advantage insurers to the Centers for Medicare & Medicaid Services (CMS . . .