Medicaid managed care denies prior authorizations at higher rate than Medicare Advantage

A new analysis reveals Medicaid managed care organizations are denying prior authorizations at a higher rate than Medicare Advantage plans. The report compares the administrative burdens and access barriers between the two public programs. For practices with a significant Medicaid patient panel, this data signals a higher administrative lift and potential cash-flow impact. Monitor your Medicaid MCO denial rates against this benchmark and prepare your clinical teams for more frequent peer-to-peer reviews.