Filing · f0282
Johns Hopkins Advantage MD (HMO) - Contract H1225
Johns Hopkins Medicine · Medicare Advantage · MD · H1225 · 2025
In 2025 this plan received 13,385 standard prior authorization requests and denied 16.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
16.1%
13,385 standard requests, 2,148 denied.
76.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 13,385 | 11,237 | 2,148 | 16.1% |
| Expedited | 872 | 381 | 491 | 56.3% |
This payer also printed its own standard denial rate: 16.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 242 |
| Denials overturned | 185 |
| Overturn rate | 76.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | — | — |