Organization Detail
Point32Health
5 plans across 2 states · Medicaid MCO
7.4%
Point32Health Denial Rate
standard, avg across 5 plans
12.7%
National Average
all reporting plans
-5.3%
vs. National
below average
MA4 plans
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tufts Health Together MCO (Point32Health)Medicaid MCO | 2,058 | 1,906 | 152 | 92.6% | 7.4% | — | — | — | — | — | 4.9 | 3.9 | View source ↗ |
| Tufts Health Together with UMass Memorial Health (Point32Health)Medicaid MCO | 6,367 | 6,036 | 331 | 94.8% | 5.2% | — | — | — | — | — | 4.6 | 4.9 | View source ↗ |
| Tufts Health Plan One Care - Medicare-Medicaid (Point32Health)Medicaid MCO | 9,942 | 9,497 | 445 | 95.5% | 4.5% | — | — | — | — | — | 4.0 | 2.7 | View source ↗ |
| Tufts Health Together with Cambridge Health Alliance (Point32Health)Medicaid MCO | 3,526 | 3,386 | 140 | 96.0% | 4.0% | — | — | — | — | — | 5.2 | 3.9 | View source ↗ |
RI1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tufts Health Plan RI Together - Medicaid MCO (Point32Health)Medicaid MCO | 352 | 297 | 55 | 84.4% | 15.7% | — | — | — | — | — | 5.7 | 3.8 | View source ↗ |