Medicare Advantage Denials Hit Six-Year High

Insurers required to publicly report prior authorization denial, appeal, and overturn rates on their websites starting March 1, 2026.

A patient receives treatment in the emergency room at Roseland Community Hospital in Chicago, on Dec. 15, 2020. Scott Olson/Getty Images

Denials of prior authorization requests in the Medicare Advantage program reached a six-year high in 2024.

Medicare Advantage is an alternative to traditional Medicare in which claims are managed by commercial health insurance companies.