‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

GAINING CLARITY: Kaiser examines the growing issue of health insurance denials, specifically focusing on how “prior authorization” practices affect patient care. The reporting highlights real-world examples of patients facing severe health consequences due to insurers deeming necessary treatments “not medically necessary,” despite doctor recommendations. ▼

…Health insurers issue millions of denials every year. And like the Tennants, many patients find themselves stuck in a convoluted appeals process marked by long wait times, frustrating customer service encounters, and decisions by medical professionals they’ve never met who may lack relevant training.

Recent federal and state efforts, as well as changes undertaken by insurance companies themselves, have attempted to improve a 50-year-old system that disproportionately burdens some of the sickest patients at the worst times. And yet many doctors complain that insurance denials are worse than ever as the use of prior authorization has ramped up in recent years, reporting by KFF Health News and NBC News found.

Keep Reading

Sausser, L. (2025, July 2). Not accountable to anyone’: As insurers issue denials, some patients run out of options – KFF Health News. KFF Health News. https://kffhealthnews.org/news/article/prior-authorization-insurer-denials-patients-run-out-of-options/

Sausser, L. (2025, June 16). Not accountable to anyone’: As insurers issue denials, some patients run out of options. McKnight’s Long-Term Care News. https://www.mcknights.com/news/not-accountable-to-anyone-as-insurers-issue-denials-some-patients-run-out-of-options/

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