Becker's Healthcare January 20, 2026
Elizabeth Casolo

Going into 2026, prior authorization continues to be a contentious topic for payers, providers, lawmakers and other leaders. From piloting prior authorization in Medicare to governors pitching reforms, this year is bound to feature significant shifts.

Here are five prior authorization updates in 2026, so far:

1. Ninety-three percent of health plan executives expect AI to add value by automating prior authorizations, according to an analysis of Deloitte survey results released Jan. 15.

2. On Jan. 14, Massachusetts Gov. Maura Healey pitched 24-hour turnaround times for urgent prior authorization requests and eliminating prior authorization for certain conditions, along with other reforms. She also shared the Health Care Affordability Working Group, which will include Blue Cross Blue Shield of Massachusetts President...

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Topics: CMS, Govt Agencies, Insurance, Payer, Physician, Provider, States
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