U.S. Health and Human Services Secretary Robert F. Kennedy, Jr. and Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz met with industry leaders to discuss their pledge to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid, Affordable Care Act marketplace and commercial plans covering nearly eight out of 10 Americans.
Companies and organizations represented at an HHS roundtable included Aetna, AHIP, Blue Cross Blue Shield Association, CareFirst BlueCross BlueShield, Centene Corporation, The Cigna Group, Elevance Health, GuideWell, Highmark Health, Humana, Kaiser Permanente, and UnitedHealthcare.
Earlier, AHIP announced health insurers pledged to focus on connecting patients more quickly to the care they need while minimizing administrative burdens on providers.
For patients, these commitments will result in faster, more direct access to appropriate treatments and medical services with fewer challenges navigating the health system.
For providers, these commitments will streamline prior authorization workflows, allowing for a more efficient and transparent process overall, while ensuring evidence-based care for their patients.
“The health care system remains fragmented and burdened by outdated manual processes, resulting in frustration for patients and providers alike. Health plans are making voluntary commitments to deliver a more seamless patient experience and enable providers to focus on patient care, while also helping to modernize the system,” said AHIP president and CEO Mike Tuffin.
Participating health plans commit to:
The following health plans voluntarily committed to these actions:
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Susan Rupe is managing editor for InsuranceNewsNet. She formerly served as communications director for an insurance agents’ association and was an award-winning newspaper reporter and editor. Contact her at [email protected].
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