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RFK Jr., Dr. Oz pledge to reform prior authorization of major health insurers
- On Monday, the U.S. Secretary of Health and Human Services, alongside the Centers for Medicare & Medicaid Services Administrator, revealed a voluntary agreement from insurers to streamline the prior authorization process.
- This announcement came as a response to administrative barriers and lengthy wait times, which have delayed timely health care for many patients in recent years.
- The pledge involves standardizing electronic prior authorization submissions, reducing the number of required prior authorizations, honoring prior approvals during plan changes, expanding real-time responses, enhancing transparency, and ensuring medical review of denials.
- Participating insurers cover approximately 75% of the insured population nationwide, and according to Blue Cross Blue Shield’s chief executive, these new commitments represent significant progress in enhancing the speed and breadth of health care services.
- The reforms plan to roll out early next year and could reduce bureaucratic hurdles that currently block patient care, though experts note ongoing Medicaid work requirements may add new burdens.
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Time Magazine
WDC TV NewsHealth Insurers Vow—Again—to Fix Prior Authorization Process
A coalition of health insurance companies is vowing to make changes to the prior authorization process, after years of patients and providers’ complaints over a system they say delays care and endangers people’s health. [time-brightcove not-tgx=”true”] On Monday, federal health officials met with representatives from some of the country’s major insurance companies, including Aetna, Blue Cross Blue Shield Association, Cigna, Kaiser Permanente, an…
RFK Jr. Announces ‘Health Insurance Breakthrough’ That Affects 260 Million Americans - News Addicts
In a press conference on Monday, HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz announced a landmark agreement with the nation’s largest health insurers to tackle the number one healthcare problem plaguing hundreds of millions of Americans: prior authorization. Prior authorization is the requirement for doctors and patients to get advance […] The post RFK Jr. Announces ‘Health Insurance Breakthrough’ That Affects 260 Mil…
Trump administration looks to streamline prior authorization process
Obtaining prior authorization for a medical test or procedure can be one of the most frustrating and time-consuming aspects of health care. Now, the Trump administration is looking to streamline the process. Health Secretary Robert F. Kennedy Jr. announced Monday, June 23, that some of the country’s largest insurers have pledged to take steps to make the process of getting prior authorization more efficient. Those insurers include Blue Cross Blu…
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