Medicare Advantage insurers ranked by prior authorization denial rates

Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to data published by KFF. 

In a report published Aug. 5, KFF examined data submitted to CMS by Medicare Advantage insurers in 2022. 

The number of denials increased slightly from 6% in 2021. CVS Health denied the highest percentage of prior authorization requests in 2021 and 2022. The company denied 13% of prior authorization requests it received in 2022, up from 12% in 2021. 

Humana had the highest number of prior authorization requests per member in 2022, at 2.9. 

Here's how major MA insurers compare on the number of prior authorizations and denial rates: 

Average number of prior authorization requests per member (2022) 

Humana: 2.9 

Elevance Health (Anthem): 2.6 

Anthem BCBS plans: 2.3 

Centene: 2.2 

Other BCBS plans: 2.0 

All other plans: 2.0 

CVS Health: 1.1 

Cigna: 0.9 

UnitedHealthcare: 0.9 

Kaiser Permanente: 0.5 

Prior authorization denial rates (2022) 

CVS Health: 13% 

Kaiser Permanente: 10.4% 

Centene 9.5% 

UnitedHealthcare: 8.7% 

Humana: 6.8%

Other BCBS plans: 6.3% 

BCBS Anthem: 6.2% 

Cigna: 5.8% 

A other plans: 5.6% 

Elevance Health (Anthem) 4.2% 

 

Read the full report here. 

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