04/04/2026
We’re starting to see prior authorization denial rates being published.
But in a fragmented system, data is not easy to collect—
and even harder to interpret.
Metrics are split across plans, contracts, and structures
that don’t easily connect.
So the challenge isn’t just access to data—
it’s making sense of it.
And if the data is difficult to interpret,
it becomes difficult to monitor.
And if it’s difficult to monitor,
it’s difficult to improve.
Transparency alone won’t fix anything—
especially when what’s being made transparent
is a convoluted process
within a fragmented system.
https://www.medpagetoday.com/publichealthpolicy/medicare/120628