AJMC: Rate of Prior Authorizations Denied for Patients with Cancer by Patient Ethnicity

  1. Asian: 10% denied; 5% denied due to no medical necessity
  2. Black: 8% denied; 4% denied due to no medical necessity
  3. Hispanic: 12% denied; 7% denied due to no medical necessity
  4. White: 10% denied; 5% denied due to no medical necessity
  5. Mean Prior Authorization Denial Rate: 10% denied; 5% denied due to no medical necessity
Notes: Results from a retrospective study of 18,041 patients diagnosed with cancer between January 1, 2017, and April 1, 2020.

Source: "Racial and Ethnic Disparities in Prior Authorizations for Patients With Cancer," The American Journal of Managed Care, October 11, 2024. - https://www.ajmc.com/view/racial-and-ethnic-disparities-in-prior-authorizations…