One in Five U.S. Adults Denied Doctor-Recommended Care, Commonwealth Fund Finds
A new Commonwealth Fund study reports that 20% of U.S. adults were denied care recommended by their physicians, leading to worse health outcomes and increased financial stress. The research highlights rising patient frustration with access barriers in the healthcare system. Insurers continue to defend their utilization management and claims review processes despite the documented access issues. The timing and methodology of the study were not specified in the available information.
Medicaid managed care organizations face growing scrutiny over prior authorization and utilization management practices, with denial rates directly affecting member satisfaction scores, appeals volumes, and state oversight attention.
Managed Care
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