{"id":26090,"date":"2026-06-11T09:44:29","date_gmt":"2026-06-11T13:44:29","guid":{"rendered":"https:\/\/medicarereport.org\/?p=26090"},"modified":"2026-06-11T09:44:30","modified_gmt":"2026-06-11T13:44:30","slug":"unusually-high-rates-of-prior-authorization-denials","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=26090","title":{"rendered":"Unusually high rates of prior authorization denials\u00a0"},"content":{"rendered":"\n<p>The Department of Health and Human Services\u2019 inspector general\u2019s latest report found three specific Medicare Advantage plans had the highest denial rate for long-term care requests. \u201cThe range of denial rates from 8 percent all the way up to 80 percent by company for long-term care, that\u2019s a pretty shocking variation,\u201d according to Erin Bliss, an assistant inspector general at HHS. Berkeley Lovelace Jr. reporting for NBC News, on the HHS report. Read Mr. Lovelace\u2019s article <a title=\"here\u2026\" href=\"https:\/\/www.nbcnews.com\/health\/health-news\/medicare-advantage-plans-denied-prior-authorization-requests-unusually-rcna349467\">here\u2026<\/a><\/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>The Department of Health and Human Services\u2019 inspector general\u2019s latest report found three specific Medicare Advantage plans had the highest<\/p>\n","protected":false},"author":4,"featured_media":9838,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,36,21,53,846],"tags":[385,238,61,62,442,2085],"class_list":["post-26090","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cms","category-dhs-oig","category-health-care-finance","category-hhs","category-prior-authorization","tag-healthcare-costs","tag-healthcare-finance","tag-medicare","tag-medicare-advantage","tag-prior-authorization","tag-prior-authorization-denials"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26090","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=26090"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26090\/revisions"}],"predecessor-version":[{"id":26091,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26090\/revisions\/26091"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/media\/9838"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}