7 payers cutting prior authorization requirements

Becker's Healthcare August 12, 2024
Rylee Wilson

Several payers are scaling back their prior authorization requirements in an effort to ease administrative burdens on providers.

Major payers, including UnitedHealthcare and Cigna, have removed prior authorization requirements in the past year.

Some insurers, including UnitedHealthcare, have also moved to expand gold card programs, which ease prior authorization requirements for contracted providers whose requests are routinely approved.

Here are seven payers that have scaled back prior authorizations in the past year:

1. L.A. Care Health Plan removed 24% of its prior authorization requirements. The largest publicly operated health plan in the country, no longer requires prior authorization for most specialty visits, and around 50% of lab and radiology codes, durable medical equipment and catheters.
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