Becker's Healthcare December 29, 2025
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services.
This comes just four months after news of an agreement between CMS and Medicare Advantage plans to lessen the use of prior authorization, reflecting a conflicted approach by the government when it comes to prior authorization, Medpage Today reported Dec. 29.
1. The agreement between CMS and insurers including American’s Health Insurance Plans, the Blue Cross Blue Shield Association, CareFirst BlueCross BlueShield, Centene Corporation, Cigna, Humana, Kaiser Permanente and UnitedHealthcare. The insurers pledged to standardize electronic prior authorization submissions, reduce the volume of medical services subjected to prior authorizations, implement real-time approvals for most requests by 2027 and...
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