Politico July 22, 2025
With help from Erin Schumaker and David Lim
Driving the Day
FIRST IN PULSE: HUMANA EASES PRIOR AUTH — Health insurer Humana is scaling back the number of medical services subject to prior approval and speeding up decisions about whether care is medically necessary, Kelly reports.
The large Medicare Advantage insurer today pledged to eliminate, by January 1, about one-third of prior authorization requirements for outpatient services, including diagnostic colonoscopies, certain types of transthoracic echocardiograms and some CT scans and MRIs.
The company also promised to provide decisions within one business day on at least 95 percent of all prior authorization requests submitted electronically. Humana said it currently provides a decision within one business day on more than 85 percent...
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