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Billing News · Monday, April 6, 2026

PA Denial Data One Week Old — KFF Says Data "Offers Little Insight"

KFF Quick Takes / Becker's · April 2, 2026
UHC

Summary: The first public prior authorization data is one week old. KFF published a critique: data is aggregated across all services with no breakdown by service type, no denial reasons, no prescription drug data. Insurer websites vary in format — some aggregate by line of business, others require navigating multiple pages. Key numbers hold: Centene MA — 93.6% appeal overturn rate (2023), 95.5% (2024). Oscar ACA — 25.3% denial rate. UHC — dropped from 33% to 20% the year Congress started asking questions. 53M PA requests in 2024, 4.1M denied in MA alone.

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