Filing · f0125

Cascade Health Alliance

Cascade Health Alliance · Medicaid Managed Care · OR · CY2025

This plan reported a 13.7% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicaid Managed Care plans of comparable size is 12.3%. 2 checks flagged this filing.

Standard denial rate
13.7%
This filing published percentages without counts. 4.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 13.7%
Expedited — — — 4.9%

This payer also printed its own standard denial rate: 13.7%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate4.2%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard5.2 d5.0 d
Expedited11.6 h3.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified