Data Collection

Reporting Coverage

Which payers have published CMS-0057-F prior authorization metrics for CY 2025.

268
Plans
65
Organizations
50
States
115
Medicare Advantage
73
Medicaid MCO
10
CHIP
60
Exchange Plans
10
Medicaid FFS
OrganizationStatesPlans
Medicare Advantage
Medicaid MCO
CHIP
Exchange Plans
Medicaid FFS
Centene Corporation743718217
Humana Inc.1569
UnitedHealth Group1046
Healthfirst944
Highmark824
Health Care Service Corporation852
Molina Healthcare734
Select Health / Intermountain723
Blue Cross Blue Shield of Michigan632
The Cigna Group55
Point32Health55
WellSense Health Plan (formerly BMC HealthNet Plan)522
Priority Health53
Excellus BlueCross BlueShield53
Aetna/CVS Health44
Blue Shield of California44
Florida Blue / GuideWell422
Sanford Health422
EmblemHealth42
MVP Health Care422
The Health Plan42
Inland Empire Health Plan3
Horizon Blue Cross Blue Shield of New Jersey32
Independent Health32
Medical Mutual of Ohio32
Community Health Choice3
Sentara Health Plans3
Network Health32
Quartz Health Solutions3
Security Health Plan3
Blue Cross Blue Shield of Alabama2
L.A. Care Health Plan2
TruAssure Insurance Company22
Blue Cross Blue Shield of Kansas2
Martin's Point Health Care22
HAP / Henry Ford Health22
Paramount Health Care2
Group Health Cooperative of South Central Wisconsin2
iCare/Humana2
Alaska Department of Health1
Alabama Medicaid Agency1
Viva Health1
Cedars-Sinai1
Colorado Access1
MedStar Health1
Freedom Health1
Humana1
Cook County Health1
Commonwealth of Massachusetts1
MassHealth / EOHHS1
CareFirst Inc.1
Upper Peninsula Health Plan1
Blue Cross Blue Shield of Mississippi1
Mississippi Division of Medicaid1
Oregon Health Authority1
Capital Blue Cross1
Geisinger Health Plan1
UPMC Health Plan1
Blue Cross Blue Shield of Rhode Island1
BlueCross BlueShield of South Carolina1
InStil Health1
CHRISTUS Health Plan1
Kelsey-Seybold Clinic1
Wisconsin Department of Health Services1
BCBS Wyoming1

States Without Data

The March 31, 2026 deadline has passed. These states have no plans reporting.

VTVermont