Denials are exposing operational weaknesses that extend far beyond reimbursement, and hospitals can no longer afford to treat them as an unavoidable cost of doing business.
UnitedHealthcare recently announced its plans to cut prior authorization requirements for 30% of services that previously required insurer approval by the end of 2026.
Admit type continues to present a significant risk across hospital operations, driven by limited formal education and widespread misinterpretation of national standards.