MedCity News December 22, 2025
More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or delays in care.
Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control costs and ensure that care is medically necessary and providers arguing that it creates administrative burden and delays care.
Regardless of who’s right in this debate, it’s clear that the practice is in desperate need of improvement. That’s why in June, more than 50 health plans — such as UnitedHealthcare, Aetna, Cigna and several Blues plans — made a series of commitments in partnership with the Centers for...
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