MedPage Today (4/13, Clark) reports, “Persistence in appealing denied health insurance claims resulted in overturned decisions between 30% and 78% percent of the time, when the case reached independent review organizations (IROs), an analysis of completed external appeals showed.” The analysis indicated that “among 51,394 closed cases in New York state from May 31, 2019 to Dec. 10, 2025, almost half (46.7%) of external appeals were overturned at this third level of appeal, which often involves independent physicians and other specialists.” The findings were published in a research letter in JAMA Internal Medicine.
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