Commercial Payer Denial Rates by Specialty in 2024 and 2025
Denial rates are fracturing by specialty and payer, making one-number benchmarks obsolete.
Malik Costa
Section
Features
3 stories in Features.
AI-Generated Prior Authorization Denials and the eviCore and Cohere Health Models
Two vendors control prior authorization denials, and practices fight them wrong.
Estelle Contreras
Medicare Advantage Audit Findings and Plan Compliance Outcomes from CMS
CMS audits reveal widespread prior authorization failures across major Medicare Advantage plans.
Nadia Larsen