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Employer Coverage
employercoverage.substack.com > p > prior-authorizations-are-variable

Prior authorizations are variable across ACA marketplace plans

3+ week, 4+ day ago   (320+ words) Summary: A KFF analysis of federally mandated prior authorization data finds that ACA Marketplace insurers denied an average of 18% of standard requests in 2025 and overturned an average of 43% of appealed denials. This dataset lacks the request volumes and service-level detail…...