Three Largest Medicare Advantage Organizations Had The Highest Denial Rates For Long-Term Acute Care Requests

Medicare Advantage organizations (MAOs) denied 65% of prior authorization requests for admission to long-term care hospitals (LTCH) and 54% of requests for Medicare Advantage organizations (MAOs) denied 65% of prior authorization requests for admission to long-term acute care hospitals (LTCHs) and 54% of requests for admission to inpatient rehabilitation facilities (IRFs) processed during June 2024, according to a federal analysis of data from 19 MAOs. The three largest MAOs by enrollment, CVS Health, Humana, and UnitedHealth, processed the highest volume of prior authorization requests for these two post-acute care settings and issued denials at higher rates than . . .