Commercial Payer Denial Rates by Specialty in 2024 and 2025
Denial rates now depend on specialty, payer mix, and algorithmic behavior.
Marcus Delgado-Wren
Section
Features
3 stories in Features.
AI-Generated Prior Authorization Denials and the eviCore and Cohere Health Models
How two AI vendors control prior authorization denials across American healthcare.
Marcus Delgado-Wren
Medicare Advantage Audit Findings and Plan Compliance Outcomes from CMS
CMS audits reveal systematic prior authorization failures across 87% of Medicare Advantage plans.
Colt Vanzetti