BC Advantage - 2025 Issue 8
Insurance Denials Are on the Rise: How Medical Practices Can Take Back Control
Running a medical practice today is more challenging than ever, largely because insurance denials and payment delays are increasing dramatically. Across the country, denial rates are hitting 10-15% or higher, with some claims remaining unpaid for over three months—particularly within Medicare Advantage and state-managed health plans. According to recent research from the American Medical Association, major insurers now deny about 17% of claims, with even higher rates observed in Medicare Advantage plans. Why Insurance Denials Are Increasing Approximately 75% of healthcare providers report a significant increase in claim denials over the past two years. This surge primarily stems...
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