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UnitedHealth cuts prior authorization requirements by 30%

UnitedHealth (UNH)care is eliminating authorization requirements for 30% of healthcare services that previously required insurer approval. This initiative builds on a series of recent, industry-leading commitments the company has made to make healthcare simpler and more affordable, while raising the bar for transparency and accountability across the marketplace. “Prior authorization is an essential safeguard but should only be used when it truly protects patients and improves care,” said Tim Noel, CEO of UnitedHealthcare. “Eliminating these requirements is one more way we are working to make it easier for patients to get the care they need when they need it and ensure doctors can spend more time with their patients. We are committed to further improving and refining our processes to make reviews quicker, simpler and more efficient.” Currently, prior authorization is required for only 2% of UnitedHealthcare medical services. Of the authorizations that are submitted, around 92% are approved and in less than 24 hours, on average. Within Medicare Advantage, UnitedHealthcare has fewer prior authorization requirements than any other insurer. By the end of 2026, UnitedHealthcare will eliminate an additional 30% of remaining prior authorizations, including select outpatient surgeries, some diagnostic tests like echocardiograms, and certain outpatient therapies and chiropractic care. A full list will be available on UHCProvider.com before these changes take effect.

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