SamaCare Releases Q2 2026 Market Access Benchmarks for Medical Benefit Drugs

New data reveals prior authorization approval rates for medical benefit drugs averaged 76.5% in Q2 2026, with resolution taking just over two days. These benchmarks, excluding manufacturer support, highlight significant performance differences across medical specialties and insurance providers.
Key takeaways
- Prior authorization approval rates hit 76.5% without direct manufacturer aid.
- Average resolution time for prior authorizations was 2.09 days.
- Approval rates and timelines vary significantly by medical specialty.
- Payer differences substantially impact prior authorization outcomes.
Why it matters
Understanding these prior authorization benchmarks is crucial for healthcare professionals leveraging AI tools. It helps set realistic expectations for AI-assisted workflows, identify areas where AI can improve efficiency, and negotiate better service level agreements with AI vendors.
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