UCare Health MA

Compiled by PlainInsurer, Public-data reference publisher · August 11, 2026

Contract: H3387 · Plan type: HMO

Evidence lead: Ranks four through six · High overturn-rate cohort

UCare Health MA: One of the ten highest appeal overturn rates

80.0% of this contract's filed appeals were overturned in the source record. Its overturn-rate rank is #4 of 37. The denominator is filed appeals, not all authorization requests. The percentage therefore describes reviewed appeals and must not be read as an individual outcome forecast.

Ranks four through six · High overturn-rate cohort

One of the ten highest appeal overturn rates

Ranks four through six · Broad reversal reach

Overturned appeals covered a top-ten share of denials

337 overturned appeals equal 12.0% of every denial recorded for this contract. The cross-contract rank is #4 of 37. This derived measure combines appeal filing and outcome, so it supplies scale context but does not identify clinical reasons, administrative errors, or coverage rules.

Bottom-seven record · Lower denial-rate cohort

One of the ten lowest denial rates

UCare Health MA's 5.2% rate belongs to the lowest-denial tier in this table. The exact rank is #33 of 37. This is aggregate prior-authorization activity for the reporting window, not a probability that a particular service, drug, or beneficiary request will be denied.

Bottom-seven record · Low appeal-filing share

Only a small share of denials entered appeal

421 appeals correspond to 15.0% of the plan's denied requests. That is rank #32 of 37 for filing share. The ratio reports aggregate activity; it cannot reveal why an appeal was or was not filed, whether the underlying cases were comparable, or what happened outside the reporting window.

Ranks twenty-six through thirty · Moderate request-volume cohort

A mid-lower authorization workload

This contract's 54,000 requests form a moderate comparison base within the table. Its request-volume rank is #30 of 37. Volume shows the denominator behind approvals and denials; it is not a measure of plan quality, membership, benefit breadth, price, or future coverage decisions.

Prior Authorization Scorecard

PA Requests

54,000

PA Denial Rate

5.2%

Appeals Filed

421

Appeal Overturn Rate

80.0%

Detailed Metrics

Metric	Value	% of Requests
Prior Authorization Requests	54,000	100.0%
PA Approved	51,192	94.8%
PA Denied	2,808	5.2%
Appeals Filed	421	15.0% of denials
Appeals Overturned	337	80.0% of appeals

Source: CMS Office of Inspector General report OEI-09-22-00380; KFF 2023 Medicare Advantage analysis. Verify with HHS OIG → · CMS.gov →

Sources, caveats, and related notes for UCare Health MA

What does UCare Health MA's overturn rate mean? Of the appeals filed after denials in this source record, 80% were overturned (337 of 421 filed appeals, not all 2,808 denied requests).

This data is for informational purposes only and does not constitute medical, financial, or insurance advice. Contact CMS or your plan for coverage decisions. Data from CMS OIG and KFF Medicare Advantage analysis.

Data: CMS OIG OEI-09-22-00380 and KFF 2023 Medicare Advantage analysis. Not affiliated with CMS. ← All MA plans

Read our methodology - how this data is sourced, computed, and verified.

Primary data: U.S. Department of Health & Human Services, Office of Inspector General, Medicare Advantage Encounter Data (Report OEI-09-22-00380, 2024). Secondary data: Kaiser Family Foundation 2023 Medicare Advantage Prior Authorization analysis. Methodology and editorial review by PlainInsurer, see methodology.