Free Industry Report — 2026
The First-Ever Payer Prior Authorization Report Card Is Public
CMS-0057-F now requires insurers to disclose their denial rates, appeal outcomes, and turnaround times. We analyzed the data so your billing team doesn’t have to.
What’s Inside This Report
For the first time in U.S. healthcare history, payers are legally required to publish how often they deny prior authorization requests — and what happens when providers appeal. The data is now out.
Harris Secure Connect analyzed the first wave of CMS-0057-F disclosures alongside KFF, OIG, AMA, and Senate findings to produce this actionable report.
- Payer-by-payer MA denial rate scorecard (UHC, Aetna, Humana, Centene & more)
- Why Centene’s 95.5% appeal overturn rate means every denial is worth fighting
- Medicaid MCO benchmarks and the impact of the OBBBA coverage cuts
- Specialty spotlights: Orthopedics, Oncology, Behavioral Health, Cardiology
- This-week and 30-day action items for your billing team
- What the FHIR-based PA API mandates mean for 2027 readiness
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Data sources: KFF analysis of CMS Medicare Advantage prior authorization data (January 28, 2026), HHS Office of Inspector General (July 2023), Senate Permanent Subcommittee on Investigations (October 2024), Cigna Group 2025 Customer Transparency Report (March 12, 2026), AMA 2024–2025 prior authorization surveys, and individual payer public disclosures.