Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023

Nearly 50 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2023, of which 3.2 million (6.4%) were denied. Just 11.7% of denied requests were appealed, though 81.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests were made in traditional Medicare,…

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Republicans Aim To Punish States That Insure Unauthorized Immigrants

President Donald Trump’s signature budget legislation would punish 14 states that offer health coverage to people in the U.S. without authorization. The states, most of them Democratic-led, provide insurance to some low-income immigrants — often children — regardless of their legal status. Advocates argue the policy is both humane and ultimately cost-saving. But the federal…

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President’s Message

KFF Is a One-of-a-Kind Information Organization Updated: July 2025Drew E. Altman, Ph.D., President and Chief Executive Officer; Executive Publisher, KFF Health News KFF is a one-of-a-kind health policy information organization. Not a policy research organization. Not a polling organization. And not a news organization. And no part is separate. We are designed to be a combination…More

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Lyle Berkowitz, Keycare

Lyle Berkowitz is an old friend and these days is CEO of Keycare, which provides a virtual care workforce, primarily for major health systems. It’s based on Epic taking advantage of Telehealth Everywhere, which means that patients can get to them from within their MyChart accounts and it can easily integrate its EMR data with…

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