Tag: KFF
Prior authorization metrics provide new insight, KFF says
August 18, 2026HME News Staff
WASHINGTON – Medicare Advantage insurers denied 13% of standard prior authorization requests, Medicaid managed care insurers denied 14% and ACA Marketplace insurers denied 18%, according to a new analysis from KFF.
Insurers were required to post the first year of prior authorization metrics for the 2025 calendar year by March 31, 2026. KFF collected and analyzed these metrics from the largest insurers in most market segments for which reporting is required.
Other key takeaways from the...
Growth in Medicare Advantage enrollment slows down
February 25, 2026HME News Staff
WASHINGTON – Total Medicare Advantage enrollment continued to increase in 2026, but at a slower rate of growth than in previous years, according to a KFF analysis of enrollment data provided by Centers for Medicare & Medicaid Services (CMS) on Feb. 13.
Just more than 35 million people are enrolled in Medicare Advantage as of Feb. 1, 2026, an increase of 1.1 million people since...