Medical Benefit Prior Authorization Benchmarks
SamaCare provides one of the most comprehensive views of medical benefit prior authorization performance across the United States. These benchmarks are derived from real-world prior authorizations submitted across thousands of specialty practices, offering a reliable source for approval rates and time to resolution by specialty.
Topline Prior Authorization Benchmarks
Real-world performance across all medical benefit drugs on the SamaCare platform
All medical benefit drugs on the SamaCare platform
All medical benefit drugs on the SamaCare platform
All medical benefit drugs on the SamaCare platform
All medical benefit drugs on the SamaCare platform
Market Access Insights by Specialty
Average Net Approval Rate by Specialty
Explore how approval rates vary across specialties based on real-world prior authorization activity.
Average Time to Resolution by Specialty
Understand how quickly prior authorizations are resolved across specialties and where delays may occur.
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See How Your Therapy Performs in Real-World Access Workflows
Get a customized Access Snapshot for your brand, including approval rates, time to resolution, and key drivers impacting patient access.
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Understand How Prior Authorization is Impacting Your Patients
SamaCare gives providers end-to-end visibility into prior authorization performance across payers, therapies, and workflows — with insights at the practice, drug, and payer level to help reduce delays and get patients on treatment faster.
Methodology
These benchmarks are based on real-world prior authorizations submitted through the SamaCare platform across all payers. The dataset represents activity from more than 30,000 specialty practices in the United States.
While submission volume varies by specialty and time period, SamaCare processes tens of thousands of medical benefit prior authorizations per specialty each quarter. Benchmarks reflect aggregated performance across all practices on the platform.
What These Benchmarks Show
SamaCare benchmarks provide visibility into two of the most important drivers of patient access: prior authorization approval rates and time to resolution. These metrics reflect how payer requirements, documentation, and submission workflows impact how quickly patients are able to start therapy.
Prior authorizations processed
Specialties covered
Specialty practices nationwide
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