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Use Of Independent Medical Review: Almost One-Half Of Coverage Denials Overturned

Independent medical review is a source of data to illuminate the insurance coverage landscape.

In an ahead-of-print article published today, Grace A. Lin and coauthors explore how almost one-half of health plan coverage denials that were appealed to independent medical review were overturned.

This article will be featured in our January 2026 issue. Become a subscriber today to never miss out on an upcoming issue.

The Influence Of Private Equity In Health Care

Rising health care spending may bring challenges for consumers, but ongoing growth also invites entrepreneurs, such as private equity firms, to capitalize on health care’s unique financial opportunities.

Exclusive to Health Affairs Insiders, this new trend report examines the key factors surrounding private equity ownership of hospitals and physician practices.

Become an Insider to get full access to this trend report.

Ensure Access To Gender-Affirming Hormone Therapy In State ADAP Formularies

Nathaniel M. Tran et al.