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Key Takeaways Mental health claim denial rates are 85% higher than for comparable medical services per the 2024 Behavioral Health Parity Report — behavioral health...
Key Takeaways Cardiology practices face denial rates of 15 to 20%, far above the national outpatient average — prior authorization gaps, unspecified diagnoses, and modifier...
Key Takeaways Total Medicaid spending reached $919 billion in FY2024 — 65% federally funded and 35% state -funded — making it the largest single payer...
Key Takeaways Payer contract negotiation stalls most often because providers bring only internal data while payers hold CPT -level rate databases covering every provider in...
Key Takeaways Physicians handle an average of 43 prior authorization requests per week consuming 12 staff hours per the 2025 AMA survey — this administrative...