Filing · f0069
Aetna Better Health of West Virginia
CVS Health / Aetna · Medicaid Managed Care · WV · CY2025
In 2025 this plan received 82,698 standard prior authorization requests and denied 19.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
19.3%
82,698 standard requests, 15,928 denied.
25.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 82,698 | 66,770 | 15,928 | 19.3% |
| Expedited | 1,606 | 1,314 | 292 | 18.2% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 19.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 718 |
| Denials overturned | 185 |
| Overturn rate | 25.8% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.2 d | 2.0 d |
| Expedited | 18.5 h | 24.0 h |