{"id":25287,"date":"2025-12-15T07:19:45","date_gmt":"2025-12-15T12:19:45","guid":{"rendered":"https:\/\/medicarereport.org\/?p=25287"},"modified":"2025-12-15T07:19:46","modified_gmt":"2025-12-15T12:19:46","slug":"health-plans-losing-nearly-half-of-cases-that-reach-independent-medical-review-study","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=25287","title":{"rendered":"Health plans losing nearly half of cases that reach independent medical review: Study"},"content":{"rendered":"\n<p>(By: Jakob Emerson for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study published Dec. 10.  Continue reading<a href=\"https:\/\/www.beckerspayer.com\/research-analysis\/health-plans-losing-nearly-half-of-cases-that-reach-independent-medical-review-study\/\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/research-analysis\/health-plans-losing-nearly-half-of-cases-that-reach-independent-medical-review-study\/\"> here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"105\" class=\"wp-image-8434\" style=\"width: 150px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/10\/research-data.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/10\/research-data.jpg 450w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/10\/research-data-300x211.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/10\/research-data-392x272.jpg 392w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/10\/research-data-130x90.jpg 130w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By: Jakob Emerson for Becker&#8217;s Hospital Review) Nearly half of health plan coverage denials that reached independent medical review were<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,21,200],"tags":[385,238,1981,1980,1982],"class_list":["post-25287","post","type-post","status-publish","format-standard","hentry","category-health-care-general","category-health-care-finance","category-health-insurance","tag-healthcare-costs","tag-healthcare-finance","tag-independent-medical-review","tag-medical-review","tag-overturned-health-care-denials"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25287"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25287\/revisions"}],"predecessor-version":[{"id":25288,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/25287\/revisions\/25288"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}