Prior-Authorization Accountability · United States

Insurer Transparency Dashboard

Insurers' own published prior-authorization metrics — denial rates, appeal-overturn rates, and decision turnaround times — shown alongside the source for every figure. This is operational transparency, not an attribution of harm to any company.

Compare plans side by side

Each reporting plan's published prior-authorization numbers, color-coded by company. Click a numeric column heading to sort. Every row links to its own source; figures still marked pending primary-source confirmation are third-party aggregations not yet checked against the payer's own CMS-0057-F filing.

Plan Denial rate Appeal overturn Median turnaround Type Source
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Figures are self-reported by plans under CMS-0057-F and aggregated here; definitions vary by reporter. Each row links to its own source.
About this data — read first

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Data limitations
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The rule behind the numbers

These metrics exist because of a federal transparency rule. Here is what it requires and when.

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Transparency, not a body count

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System-wide picture

Aggregate prior-authorization figures across U.S. insurers, each linked to its published source and badged by provenance.

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From a turnaround time to an estimated risk

A plan's published median decision time is a delay length you can put a number on. When a plan reports, for example, that standard prior-authorization decisions take a given number of days, that interval can be entered directly into the Calculator. The calculator applies a peer-reviewed hazard ratio — relative risk modeled as HR(days/28)1 — to estimate the excess mortality RISK associated with a delay of that length, shown with a 95% confidence interval and full methodology. This is a population-level estimate based on the plan's own published timing, clearly labeled as an estimate. It is never a claim that any plan caused any specific death.

Take a turnaround time to the Calculator Read the methodology →

Source: Hanna TP, et al. Mortality due to cancer treatment delay. BMJ 2020;371:m4087. doi:10.1136/bmj.m4087.