Filing · f0060
Aetna Better Health of Louisiana
CVS Health / Aetna · Medicaid Managed Care · LA · CY2025
In 2025 this plan received 79,506 standard prior authorization requests and denied 15.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
15.2%
79,506 standard requests, 12,067 denied.
29.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 79,506 | 67,439 | 12,067 | 15.2% |
| Expedited | 2,062 | 1,596 | 466 | 22.6% |
| Extended review, approved | 58 | |||
This payer also printed its own standard denial rate: 15.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 556 |
| Denials overturned | 164 |
| Overturn rate | 29.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.3 d | 2.0 d |
| Expedited | 22.3 h | 24.0 h |