Insurer record · MA, Medicaid, and marketplace via Aetna and Aetna Better Health state plans

CVS Health (Aetna)

19.9%

of its MA denials were appealed in 2024 — the highest appeal rate of any major insurer

Dataset: Prior-authorization denials · Medicare Advantage

Percentages only See the public-record check →

From the payer’s own CY2025 posting

What CVS Health (Aetna) disclosed

MeasureWhat the insurer reportedNote
Corporate CMS-0057-F indexNone found
Disclosure locationPer-plan PDFs on state sitese.g., Aetna Better Health of Illinois, contract H2506

No corporate posting located; see compliance detail.

Appeal drafting · free to use

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Start with the facts in your notice. The builder adds public context only when it matches Medicare Advantage prior authorization, and labels that context so it is not confused with evidence about your individual request.

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We do not publish a prewritten statistics block for this payer because the current data cannot be matched cleanly to an individual plan and denial type.

On the record

The Senate flagged its post-acute AI project.

The Senate PSI report found CVS subjected 57.5% more post-acute service requests to prior authorization while enrollment grew about 40%, and that its "Post-Acute Analytics" project's projected savings were revised from $10–15 million to $77.3 million over three years.

Source · U.S. Senate Permanent Subcommittee on Investigations, majority staff report
Published
Oct. 17, 2024
Public lineage
Original source linked below. A public immutable archive and provenance ID are not yet published.
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