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“The range of denial rates from 8% all the way up to 80% by company for long-term care, that’s a pretty shocking variation,” she said.

A second report, also released Thursday, focused on prior authorization requests for skilled nursing facility care. It found that when patients appealed, plans reversed 95% of denials.

“We’re looking at an extremely high overturn rate,” Rosemary Bartholomew, the lead author of the reports, said. “That really raises concerns that there’s a breakdown happening at that first request step.”

Health Secretary Robert F. Kennedy Jr. has vowed to take steps to reform prior authorization. Last year, Kennedy announced that the agency had secured commitments from several major health insurers to streamline prior authorization rules and reduce the number of services subject to preapproval

You may recall when my house got tore up and how the insurance did me. There was no thought to it, they pretty much just halved any number i gave them.   

WWLD??