Massachusetts sees one in five commercial health insurance claims denied in 2024

One in five commercial health insurance claims were denied in Massachusetts in 2024, primarily for administrative reasons. The report by the Massachusetts Health Policy Commission found that 20% of claims were denied, with "other administrative denials" accounting for 11.7%. Clinical denials were less than 1%. This highlights system complexity and burdens providers, insurers, and patients, though insurers state most claims are paid and denials are rarely for medical necessity.