{"id":702481,"date":"2026-02-02T07:49:35","date_gmt":"2026-02-02T12:49:35","guid":{"rendered":"https:\/\/www.kff.org\/?p=702481"},"modified":"2026-02-02T08:25:37","modified_gmt":"2026-02-02T13:25:37","slug":"kff-health-tracking-poll-prior-authorizations-rank-as-publics-biggest-burden-when-getting-health-care","status":"publish","type":"post","link":"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-prior-authorizations-rank-as-publics-biggest-burden-when-getting-health-care\/","title":{"rendered":"KFF Health Tracking Poll: Prior Authorizations Rank as Public\u2019s Biggest Burden When Getting Health Care"},"content":{"rendered":"<div\n\tclass=\"wp-block-kff-shared-content--standard-layout wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t<div class=\"post-header__tag\">Poll Finding<\/div>\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">KFF Health Tracking Poll: Prior Authorizations Rank as Public\u2019s Biggest Burden When Getting Health Care<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t\t<div>\n\t\t\t\t<span class=\"post-header__meta-label\">\n\t\t\t\tAuthors:\t\t\t\t<\/span>\n\t\t\t\t<a href=\"https:\/\/www.kff.org\/person\/ashley-kirzinger\/\">Ashley Kirzinger<\/a>, <a href=\"https:\/\/www.kff.org\/person\/julian-montalvo\/\">Julian Montalvo III<\/a>, and <a href=\"https:\/\/www.kff.org\/person\/liz-hamel\/\">Liz Hamel<\/a> \t\t\t<\/div>\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Feb 2, 2026<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=KFF%20Health%20Tracking%20Poll%3A%20Prior%20Authorizations%20Rank%20as%20Public%E2%80%99s%20Biggest%20Burden%20When%20Getting%20Health%20Care&#038;body=https%3A%2F%2Fwww.kff.org%2Fpublic-opinion%2Fkff-health-tracking-poll-prior-authorizations-rank-as-publics-biggest-burden-when-getting-health-care%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 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class=\"wp-block-paragraph\"><strong>News Release<\/strong>: <a href=\"https:\/\/www.kff.org\/public-opinion\/poll-people-view-prior-authorization-as-greatest-burden-in-navigating-the-health-system\/\">Poll: People\u00a0View\u00a0Prior Authorization as Greatest Burden in Navigating the Health System<\/a><\/p>\n\n\t\t<\/div>\n\t\n\t<\/div>\n\n\n<div class=\"wp-block-tenup-table-of-contents\" data-one-scroll=\"false\">\n\t\n<div class=\"wp-block-tenup-table-of-contents\">\n<div class=\"toc-title--placeholder\">\n\t<\/div>\n<div class=\"toc-nav toc-nav--open wp-block-tenup-table-of-contents-nav\">\n\n\t<div class=\"toc-title\">\n\t\t<button class=\"toc-nav__toggle\" type=\"button\"><\/button>\n\t\t<span class=\"toc-title__label\">Section:<\/span>\n\t\t<span class=\"toc-title__text\"><\/span>\n\t\t<div class=\"toc-title__quicknav-buttons is-loading\">\n\t\t\t<button disabled role=\"button\" aria-label=\"Previous\">\n\t\t\t\t<svg width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t\t<path d=\"M6.93729 10.0006L13.9759 3.57162C14.2216 3.32653 14.2216 2.9289 13.9759 2.68381C13.7302 2.43873 13.3313 2.43873 13.0856 2.68381L5.59558 9.52484C5.46429 9.65551 5.40864 9.82932 5.41739 9.99999C5.40864 10.1713 5.46429 10.3445 5.59558 10.4752L13.0856 17.3162C13.3313 17.5613 13.7302 17.5613 13.9759 17.3162C14.2216 17.0711 14.2216 16.6734 13.9759 16.4284L6.93729 10.0006Z\" fill=\"currentColor\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/button>\n\t\t\t<span class=\"toc-title__quicknav-page\">\n\t\t\t\t<span class=\"toc-title__quicknav-buttons__current\">0<\/span>\n\t\t\t\t<span class=\"toc-title__quicknav-buttons__divider\">\/<\/span>\n\t\t\t\t<span class=\"toc-title__quicknav-buttons__total\">0<\/span>\n\t\t\t<\/span>\n\t\t\t<button disabled role=\"button\" aria-label=\"Next\">\n\t\t\t\t<svg width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t\t<path d=\"M13.9996 9.52425L6.49334 2.6838C6.24703 2.43873 5.84756 2.43873 5.60124 2.6838C5.35493 2.92885 5.35493 3.32646 5.60124 3.57153L12.6549 10L5.60187 16.4285C5.35555 16.6735 5.35555 17.0712 5.60187 17.3162C5.84818 17.5612 6.24765 17.5612 6.49395 17.3162L14.0002 10.4757C14.1315 10.3451 14.1878 10.1719 14.179 10.0006C14.1872 9.82871 14.1309 9.65554 13.9996 9.52425Z\" fill=\"currentColor\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/button>\n\t\t<\/div>\n\t<\/div>\n\n\n\t\n<nav class=\"wp-block-tenup-table-of-contents-nav\"><div class=\"toc-top-level__item wp-block-tenup-table-of-contents-item\" data-index=\"1\" data-uuid=\"4442d4c5-f9b8-4316-941a-9115017eca6d\">\n\t<a href=\"#4442d4c5-f9b8-4316-941a-9115017eca6d\" \n\t\tclass=\"toc-top-level__button\"\n\t\t>\n\t\t<span class=\"toc-top-level__number\">1.<\/span>\n\t\t<span class=\"toc-top-level__title\">Findings<\/span>\n\t<\/a>\n\t<\/div>\n\n\n<div class=\"toc-top-level__item wp-block-tenup-table-of-contents-item\" data-index=\"2\" data-uuid=\"b1e8e938-4db5-4c97-a337-31575546a6d4\">\n\t<a href=\"#b1e8e938-4db5-4c97-a337-31575546a6d4\" \n\t\tclass=\"toc-top-level__button\"\n\t\t>\n\t\t<span class=\"toc-top-level__number\">2.<\/span>\n\t\t<span class=\"toc-top-level__title\">Methodology<\/span>\n\t<\/a>\n\t<\/div>\n<\/nav>\n<\/div>\n\n\n\n<div class=\"wp-block-tenup-table-of-contents-content\">\n\t\n<div class=\"wp-block-tenup-table-of-contents-content\">\n<div class=\"toc-section wp-block-tenup-table-of-contents-section\" id=\"4442d4c5-f9b8-4316-941a-9115017eca6d\" data-uuid=\"4442d4c5-f9b8-4316-941a-9115017eca6d\">\n\t<h2 class=\"toc-section__title\">Findings<\/h2>\n\t\n<div data-uuid=\"4442d4c5-f9b8-4316-941a-9115017eca6d\" class=\"wp-block-tenup-table-of-contents-section\"><div>\n<p class=\"wp-block-paragraph\">As the latest KFF Health Tracking Poll shows, affordability is the public\u2019s biggest concern, with the cost of health care <a href=\"https:\/\/urldefense.com\/v3\/__https:\/www.kff.org\/public-opinion\/kff-health-tracking-poll-health-care-costs-expiring-aca-tax-credits-and-the-2026-midterms\/__;!!Iwwt!RwKw4ItDH-n8VbBSFxyeVNTXKTrHqT5ynV1ooNzV4Lv7iFTXBGbLfUDUSwkYBFHwJ_wqmYaDRw$\">ranking<\/a> as their top economic worry. However, <a href=\"https:\/\/www.kff.org\/affordable-care-act\/kff-survey-of-consumer-experiences-with-health-insurance\/\">KFF polls<\/a> have demonstrated that beyond costs, insured people report a whole host of issues navigating the health care system. This report looks at which aspects of accessing care and health insurance are the biggest problem for insured adults and finds that prior authorizations \u2013 or the process of having to get insurance approval before accessing certain tests, treatments, or medications \u2013 are having an outsized impact on insured adults.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One in three insured adults in the U.S. say they find prior authorizations a \u201cmajor burden\u201d to getting health care. An additional four in ten (37%) say the process is a \u201cminor burden,\u201d bringing the total share of insured adults who find the process burdensome to about seven in ten (69%). This is larger than the share who say other aspects are burdensome such as understanding bills or what is owed (60%), getting needed appointments (60%), or finding providers who accept their insurance (53%).<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/11uZu\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/11uZu\/full.png\"\n\t\t\talt=\"About Seven in Ten Insured Adults Say Prior Authorization Is a Burden Including a Third Who Call It \u201cMajor\u201d\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">When asked to choose which aspect of getting health care, beyond costs, is the<strong> single biggest burden<\/strong>, one in three insured adults (34%) choose prior authorizations, followed by getting needed appointments (19%), understanding their bill (17%), or finding providers who accept their insurance (15%). The choice of prior authorizations as the single biggest burden is even more stark among adults with a chronic condition that requires ongoing medical treatment (about half of all adults). These individuals often require more treatments and medications, resulting in more interactions with health insurance companies and health care providers. Four in ten (39%) insured adults with a chronic condition say prior authorizations are the single biggest burden when it comes to getting health care, at least twice the share who say the same about the other aspects of health care asked about.<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/iGfcF\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/iGfcF\/full.png\"\n\t\t\talt=\"Four in Ten Insured Adults With a Chronic Condition Say Prior Authorization Is Their Single Biggest Health Care Burden\u00a0Beyond Costs\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">Prior authorizations are also identified as the single biggest burden for insured adults across partisans, as well as among individuals across insurance types that typically require prior authorizations such as individuals with Medicaid, people who buy their own health insurance, and people who get health insurance through an employer. Notably, about three in ten (28%) Medicaid enrollees identify finding providers who accept their insurance as the biggest burden, but small shares identify other issues as their biggest burden.<sup data-fn=\"9b642385-5b5a-47f4-b930-252f32e626b6\" class=\"fn\"><a id=\"9b642385-5b5a-47f4-b930-252f32e626b6-link\" href=\"#9b642385-5b5a-47f4-b930-252f32e626b6\">1<\/a><\/sup><\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/suA7Y\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/suA7Y\/full.png\"\n\t\t\talt=\"A Third of Insured Adults Across Insurance Types and Party Say Prior Authorization Is Their Single Biggest Burden\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">During the prior authorization process, some treatments or medications recommended by a provider may be delayed and, in some instances, an insurance company may end up denying medication or treatment. Overall, about two-thirds of adults say delays and denials of health care services by health insurance companies are a \u201cmajor problem\u201d with an additional one in four (24%) who say they are a \u201cminor problem.\u201d Just one in ten adults say delays and denials of services by insurance companies are not a problem in our current health care system. &nbsp;More than six in ten across Medicaid enrollees, self-purchasers, and those with employer coverage say the delays and denials of care by insurance companies are a \u201cmajor problem.\u201d<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/n04Tj\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/n04Tj\/full.png\"\n\t\t\talt=\"Majorities of Adults Across Coverage Types Say Delays and Denials Are a Major Problem, Including About Seven in Ten Adults Who Have a Chronic Condition\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">About one in three insured adults (33%) say they have had a health insurance company deny coverage for a certain health care service treatment, or medication prescribed by their doctor in the past two years. Three in ten insured adults say that a health insurance company has delayed their ability to get such services, treatments, or medications (29%) or required them to try a lower-cost drug or treatment before covering the one that was originally recommended by their provider (29%). These issues are even more common among insured adults with a chronic condition with about four in ten reporting that an insurance company has required them to try a lower-cost drug or treatment (38%), deny coverage for a certain service or medication (42%), or delayed their ability to get prescribed care (37%). Overall, nearly half (47%) of insured adults say they have had a certain service, treatment, or medication either denied or delayed in the past two years, rising to nearly six in ten (57%) among those with a chronic condition.<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/lq14B\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/lq14B\/full.png\"\n\t\t\talt=\"Nearly Half of Insured Adults Say They Have Experienced Their Health Insurance Company Denying Care, Delaying Care, or Requiring Them To Try Alternatives\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">Denial and delays by health insurance companies can lead to negative consequences for people\u2019s physical, mental, and financial health. One in three of those who experienced a denial or delay say the actions required by their health insurance company had a \u201cmajor negative impact\u201d on their mental health and emotional well-being as well as on their finances (about one in six of all insured adults).&nbsp; One in four (one in eight of all insured adults) say the delays or denials has a \u201cmajor negative impact\u201d on their physical health.<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/5NN1Q\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/5NN1Q\/full.png\"\n\t\t\talt=\"Many of Those Who Have Experienced Denials, Delays, or Changes in Care Due to a Prior Authorization Say It Had a Negative Impact on Them\"\n\t\t\/>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&nbsp;<\/strong><\/p>\n\n\n\n<hr style=\"border-top-width: 2px; border-bottom: none;\" class=\"wp-block-separator has-alpha-channel-opacity is-style-black\" \/>\n\n\n<ol class=\"wp-block-footnotes\"><li id=\"9b642385-5b5a-47f4-b930-252f32e626b6\">Prior authorization is more common in Medicare Advantage than Traditional Medicare. Because this analysis is unable to break out individuals with traditional Medicare versus Medicare Advantage, we do not include Medicare as a subgroup in our analysis. These individuals are included in both the total group and the group with chronic conditions. \u00a0To learn more about prior authorizations for Medicare, more available at\u00a0<a href=\"https:\/\/www.kff.org\/medicare\/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024\/\">https:\/\/www.kff.org\/medicare\/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024\/<\/a>. <a href=\"#9b642385-5b5a-47f4-b930-252f32e626b6-link\" aria-label=\"Jump to footnote reference 1\">\u21a9\ufe0e<\/a><\/li><\/ol><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"toc-section wp-block-tenup-table-of-contents-section\" id=\"b1e8e938-4db5-4c97-a337-31575546a6d4\" data-uuid=\"b1e8e938-4db5-4c97-a337-31575546a6d4\">\n\t<h2 class=\"toc-section__title\">Methodology<\/h2>\n\t\n<div data-uuid=\"b1e8e938-4db5-4c97-a337-31575546a6d4\" class=\"wp-block-tenup-table-of-contents-section\"><div>\n<p class=\"wp-block-paragraph\">This <em>KFF Health Tracking Poll\/KFF Tracking Poll on Health Information and Trust <\/em>was designed and analyzed by public opinion researchers at KFF. The survey was conducted January 13-20, 2026, online and by telephone among a nationally representative sample of 1,426 U.S. adults in English (<em>n=1,355<\/em>) and in Spanish (<em>n=71<\/em>). The sample includes 1,028 adults (<em>n=60<\/em> in Spanish) reached through the <a href=\"https:\/\/ssrs.com\/opinion-panel\/\">SSRS Opinion Panel<\/a> either online (<em>n= 1,003<\/em>) or over the phone (<em>n=25<\/em>). The SSRS Opinion Panel is a nationally representative probability-based panel where panel members are recruited randomly in one of two ways: (a) Through invitations mailed to respondents randomly sampled from an Address-Based Sample (ABS) provided by Marketing Systems Groups (MSG) through the U.S. Postal Service\u2019s Computerized Delivery Sequence (CDS); (b) from a dual-frame random digit dial (RDD) sample provided by MSG. For the online panel component, invitations were sent to panel members by email followed by up to three reminder emails.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Another 398 (<em>n=11 <\/em>in Spanish) adults were reached through random digit dial telephone sample of prepaid cell phone numbers obtained through MSG. Phone numbers used for the prepaid cell phone component were randomly generated from a cell phone sampling frame with disproportionate stratification aimed at reaching Hispanic and non-Hispanic Black respondents. Stratification was based on incidence of the race\/ethnicity groups within each frame. Among this prepaid cell phone component, 149 were interviewed by phone and 249 were invited to the web survey via short message service (SMS).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Respondents in the prepaid cell phone sample who were interviewed by phone received a $15 incentive via a check received by mail or an electronic gift card incentive. Respondents in the prepaid cell phone sample reached via SMS received a $10 electronic gift card incentive. SSRS Opinion Panel respondents received a $5 electronic gift card incentive (some harder-to-reach groups received a $10 electronic gift card). In order to ensure data quality, cases were removed if they failed two or more quality checks: (1) attention check questions in the online version of the questionnaire, (2) had over 30% item non-response, or (3) had a length less than one quarter of the mean length by mode. Based on this criterion, 2 cases was removed.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The combined cell phone and panel samples were weighted to match the sample\u2019s demographics to the national U.S. adult population using data from the Census Bureau\u2019s 2025 Current Population Survey (CPS), September 2023 Volunteering and Civic Life Supplement data from the CPS, and the 2025 KFF Benchmarking Survey with ABS and prepaid cell phone samples. The demographic variables included in weighting for the general population sample are gender, age, education, race\/ethnicity, region, civic engagement, frequency of internet use and political party identification. The weights account for differences in the probability of selection for each sample type (prepaid cell phone and panel). This includes adjustment for the sample design and geographic stratification of the cell phone sample, within household probability of selection, and the design of the panel-recruitment procedure.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The margin of sampling error including the design effect for the full sample is plus or minus 3 percentage points. Numbers of respondents and margins of sampling error for key subgroups are shown in the table below. For results based on other subgroups, the margin of sampling error may be higher. Sample sizes and margins of sampling error for other subgroups are available on request. Sampling error is only one of many potential sources of error and there may be other unmeasured error in this or any other public opinion poll. KFF public opinion and survey research is a charter member of the <a href=\"https:\/\/aapor.org\/standards-and-ethics\/transparency-initiative\/\">Transparency Initiative<\/a> of the American Association for Public Opinion Research.&nbsp;<\/p>\n\n\n<div class=\"advgb-table-wrapper\">\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><thead><tr><th style=\"background-color:#e5e5e5;text-align:left\"><strong>Group<\/strong><\/th><th style=\"background-color:#e5e5e5;text-align:center\"><strong>N (unweighted)<\/strong><\/th><th style=\"background-color:#e5e5e5;text-align:center\"><strong>M.O.S.E.<\/strong><\/th><\/tr><\/thead><tbody><tr><td style=\"text-align:left;background-color:#fff\">Total<\/td><td style=\"text-align:center;background-color:#fff\">1,426<\/td><td style=\"text-align:left;background-color:#fff\">\u00b1 3 percentage points<\/td><\/tr><tr><td style=\"text-align: left\">&nbsp;<\/td><td style=\"text-align: center\"><\/td><td style=\"text-align: left\"><\/td><\/tr><tr><td style=\"text-align: left\"><strong>Party ID<\/strong><\/td><td style=\"text-align: center\"><\/td><td style=\"text-align: left\"><\/td><\/tr><tr><td style=\"text-align: left\">Democrats<\/td><td style=\"text-align: center\">473<\/td><td style=\"text-align: left\">\u00b1 6 percentage points<\/td><\/tr><tr><td style=\"text-align:left;background-color:#fff\">Independents<\/td><td style=\"text-align:center;background-color:#fff\">483<\/td><td style=\"text-align:left;background-color:#fff\">\u00b1 6 percentage points<\/td><\/tr><tr><td style=\"text-align: left\">Republicans<\/td><td style=\"text-align: center\">367<\/td><td style=\"text-align: left\">\u00b1 6 percentage points<\/td><\/tr><tr><td style=\"text-align:left;background-color:#fff\">&nbsp;<\/td><td style=\"text-align:center;background-color:#fff\"><\/td><td style=\"text-align:left;background-color:#fff\">&nbsp;<\/td><\/tr><tr><td style=\"text-align: left\"><strong>MAGA Republicans\/Rep leaners<\/strong><\/td><td style=\"text-align: center\">352<\/td><td style=\"text-align: left\">\u00b1 6 percentage points<\/td><\/tr><tr><td style=\"text-align:left;background-color:#fff\"><strong>MAHA supporters<\/strong><\/td><td style=\"text-align:center;background-color:#fff\">618<\/td><td style=\"text-align:left;background-color:#fff\">\u00b1 5 percentage points<\/td><\/tr><tr><td style=\"text-align: left\"><strong>Parents or guardians of children under 18 living in their household<\/strong><\/td><td style=\"text-align: center\">436<\/td><td style=\"text-align: left\">\u00b1 6 percentage points<\/td><\/tr><\/tbody><\/table>\n<\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/patient-consumer-protections\/\">\n\t\t\t\tPatient and Consumer Protections\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/private-insurance\/\">\n\t\t\t\tPrivate Insurance\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/public-opinion\/\">\n\t\t\t\tPublic Opinion\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/access-to-care\/\">\n\t\t\t\tAccess to Care\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/coverage\/\">\n\t\t\t\tCoverage\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/prior-authorization\/\">\n\t\t\t\tPrior Authorization\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t<\/section>\n\n\n<section class=\"wp-block-kff-shared-content-sidebar\">\n\t\t\t\n\t\t\n\n<div class=\"wp-block-kff-shared-slab--blue wp-block-kff-shared-slab\">\n\t\t\t\t\t\t<h2 class=\"wp-block-kff-shared-slab__heading\">download<\/h2>\n\t\t\t\n\t\n\t<div class=\"wp-block-kff-share-slab__content\">\n\t\t\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/files.kff.org\/attachment\/topline-kff-health-tracking-poll-jan-2026.pdf\">TOPLINE &amp; METHODOLOGY<\/a><\/p>\n\n\t<\/div>\n<\/div>\n\n\n<div class=\"wp-block-kff-shared-related-content--green wp-block-kff-shared-related-content\">\n\t<h2 class=\"wp-block-kff-shared-related-content__heading\">Related Content<\/h2>\n\t<div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/patient-consumer-protections\/kff-health-tracking-poll-public-finds-prior-authorization-process-difficult-to-manage\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF Health Tracking Poll: Public Finds Prior Authorization Process Difficult to Manage\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/public-opinion\/poll-people-view-prior-authorization-as-greatest-burden-in-navigating-the-health-system\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tPoll: People\u00a0View\u00a0Prior Authorization as Greatest Burden in Navigating the Health System\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"wp-block-kff-shared-related-content__card-date\">\n\t\t\t\t\t\tNews Release, \t\t\t\t\t\t<date>Feb 2, 2026<\/date>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t<div class=\"wp-block-kff-shared-related-content__card\">\n\t\t\t<a href=\"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-health-care-costs-in-the-current-moment-of-economic-anxiety\/\" class=\"wp-block-kff-shared-related-content__link\">\n\t\t\t\t<h3 class=\"wp-block-kff-shared-related-content__card-title\">\n\t\t\t\t\tKFF Health Tracking Poll: Health Care Costs in the Current Moment of Economic Anxiety\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\t\t\t<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>KFF&#8217;s health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizations are burdensome, and a third (34%) choose prior authorizations as their single biggest health care burden.<\/p>\n","protected":false},"author":155412924,"featured_media":702522,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"authors":[{"type":"foundation","id":175242,"name":"","_id":"9a35fa95-4572-479f-9429-7d7703e0c3ff"},{"type":"foundation","id":629907,"name":"","_id":"055bedaf-bfc3-4311-a9f2-b907b469ffe6"},{"type":"foundation","id":49520,"name":"","_id":"c4e8bc86-e89d-4af0-9c4c-20da724a21dc"}],"exhibits":[],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"10936","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"[{\"id\":\"9b642385-5b5a-47f4-b930-252f32e626b6\",\"content\":\"Prior authorization is more common in Medicare Advantage than Traditional Medicare. Because this analysis is unable to break out individuals with traditional Medicare versus Medicare Advantage, we do not include Medicare as a subgroup in our analysis. These individuals are included in both the total group and the group with chronic conditions. \\u00a0To learn more about prior authorizations for Medicare, more available at\\u00a0<a href=\\\"https:\\\/\\\/www.kff.org\\\/medicare\\\/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024\\\/\\\">https:\\\/\\\/www.kff.org\\\/medicare\\\/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024\\\/<\\\/a>.\"}]","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[579145441,1286878,63719],"tags":[632330,128562,579145436],"content-types":[579145481],"series":[9252293],"program":[155109732],"partner":[],"class_list":["post-702481","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-consumer-protections","category-private-insurance","category-public-opinion","tag-access-to-care","tag-coverage","tag-prior-authorization","content-types-poll-finding","series-health-tracking-poll","program-public-opinion-and-survey-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>KFF Health Tracking Poll: Prior Authorizations Rank as Public\u2019s Biggest Burden When Getting Health Care | KFF<\/title>\n<meta name=\"description\" content=\"KFF&#039;s health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizations are burdensome, and a third (34%) choose prior authorizations as their single biggest health care burden.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-prior-authorizations-rank-as-publics-biggest-burden-when-getting-health-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"KFF Health Tracking Poll: Prior Authorizations Rank as Public\u2019s Biggest Burden When Getting Health Care | KFF\" \/>\n<meta property=\"og:description\" content=\"KFF&#039;s health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizations are burdensome, and a third (34%) choose prior authorizations as their single biggest health care burden.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-prior-authorizations-rank-as-publics-biggest-burden-when-getting-health-care\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-02T12:49:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-02T13:25:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/Prior-Authorization-Poll-Feature-Image.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"900\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"kffjulianm\" \/>\n<meta name=\"twitter:card\" 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OIG found that Medicaid MCOs had an overall prior authorization denial rate of 12.5%\u2013more than 2 times higher\u2026","rel":"","context":"In &quot;Medicaid&quot;","block_context":{"text":"Medicaid","link":"https:\/\/www.kff.org\/topic\/medicaid\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/07\/FEATURE-Medicaid-MCOs-vs-Medicare_PA-2.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/07\/FEATURE-Medicaid-MCOs-vs-Medicare_PA-2.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/07\/FEATURE-Medicaid-MCOs-vs-Medicare_PA-2.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/07\/FEATURE-Medicaid-MCOs-vs-Medicare_PA-2.png?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":555007,"url":"https:\/\/www.kff.org\/mental-health\/examining-prior-authorization-in-health-insurance\/","url_meta":{"origin":702481,"position":3},"title":"Examining Prior Authorization in Health Insurance","author":"kffkayep","date":"May 20, 2022","format":false,"excerpt":"This post explains what's known about how insurers use prior authorization as a tool to control costs and encourage cost-effective care, the state and federal laws that govern it, and ongoing policy debates over efforts to impose standards to limit or regulate its use.","rel":"","context":"In &quot;Affordable Care Act&quot;","block_context":{"text":"Affordable Care Act","link":"https:\/\/www.kff.org\/topic\/affordable-care-act\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2022\/05\/FEATURE-Examination-Prior-Authorization-in-Health-Insurance.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2022\/05\/FEATURE-Examination-Prior-Authorization-in-Health-Insurance.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2022\/05\/FEATURE-Examination-Prior-Authorization-in-Health-Insurance.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2022\/05\/FEATURE-Examination-Prior-Authorization-in-Health-Insurance.png?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":579370,"url":"https:\/\/www.kff.org\/affordable-care-act\/cms-prior-authorization-proposal-aims-to-streamline-the-process-and-improve-transparency\/","url_meta":{"origin":702481,"position":4},"title":"CMS Prior Authorization Proposal Aims to Streamline the Process and Improve Transparency","author":"kffraynaw","date":"Feb 21, 2023","format":false,"excerpt":"This brief explains a new proposed federal regulation aimed at reducing administrative hassles involved in obtaining prior authorization for care and sets out key policy questions, including how the proposal could impact the patient experience and data privacy.","rel":"","context":"In &quot;Affordable Care Act&quot;","block_context":{"text":"Affordable Care Act","link":"https:\/\/www.kff.org\/topic\/affordable-care-act\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2023\/02\/MicrosoftTeams-image.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":702020,"url":"https:\/\/www.kff.org\/medicare\/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024\/","url_meta":{"origin":702481,"position":5},"title":"Medicare Advantage Insurers Made Nearly 53 Million Prior Authorization Determinations in 2024","author":"kffmeredithf","date":"Jan 28, 2026","format":false,"excerpt":"Nearly 53 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2024, of which 4.1 million (7.7%) were denied. Just 11.5% of denied requests were appealed, though 80.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests\u2026","rel":"","context":"In &quot;Medicare&quot;","block_context":{"text":"Medicare","link":"https:\/\/www.kff.org\/topic\/medicare\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/Medicare-Advantage-Insurers-Made-Nearly-53-Million-Prior-Authorization-Determinations-in-2024_FI.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/Medicare-Advantage-Insurers-Made-Nearly-53-Million-Prior-Authorization-Determinations-in-2024_FI.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/Medicare-Advantage-Insurers-Made-Nearly-53-Million-Prior-Authorization-Determinations-in-2024_FI.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/Medicare-Advantage-Insurers-Made-Nearly-53-Million-Prior-Authorization-Determinations-in-2024_FI.png?resize=700%2C400&ssl=1 2x"},"classes":[]}],"primary_topic":"Public Opinion","publishpress_future_action":{"enabled":false,"date":"2026-02-23 06:14:24","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"distributor_meta":false,"distributor_terms":false,"distributor_media":false,"distributor_original_site_name":"KFF","distributor_original_site_url":"https:\/\/www.kff.org","push-errors":false,"_links":{"self":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/702481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/users\/155412924"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/comments?post=702481"}],"version-history":[{"count":15,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/702481\/revisions"}],"predecessor-version":[{"id":702541,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/posts\/702481\/revisions\/702541"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/media\/702522"}],"wp:attachment":[{"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/media?parent=702481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/categories?post=702481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/tags?post=702481"},{"taxonomy":"content-types","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/content-types?post=702481"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/series?post=702481"},{"taxonomy":"program","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/program?post=702481"},{"taxonomy":"partner","embeddable":true,"href":"https:\/\/www.kff.org\/wp-json\/wp\/v2\/partner?post=702481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}